Journal article
Pediatric Liver Transplant: Techniques and Complications
Radiographics, Vol.37(6), pp.1612-1631
10/01/2017
DOI: 10.1148/rg.2017170022
PMID: 29019744
Abstract
Liver transplant is considered to be the last-resort treatment approach for pediatric patients with end-stage liver disease. Despite the remarkable advance in survival rates, liver transplant remains an intricate surgery with significant morbidity and mortality. Early diagnosis of complications is crucial for patient survival but is challenging given the lack of specificity in clinical presentation. Knowledge of the liver and vascular anatomy of the donor and the recipient or recipients before surgery is also important to avoid complications. In this framework, radiologists play a pivotal role on the multidisciplinary team in both pre-and postoperative scenarios by providing a road map to guide the surgery and by assisting in diagnosis of complications. The most common complications after liver transplant are (a) vascular, including the hepatic artery, portal vein, hepatic veins, and inferior vena cava; (b) biliary; (c) parenchy-mal; (d) perihepatic; and (e) neoplastic. The authors review surgical techniques, the role of each imaging modality, normal posttransplant imaging features, types of complications after liver transplant, and information required in the radiology report that is critical to patient care. They present an algorithm for an imaging approach for pediatric patients after liver transplant and describe key points that should be included in radiologic reports in the pre-and postoperative settings. (C) RSNA, 2017
Details
- Title: Subtitle
- Pediatric Liver Transplant: Techniques and Complications
- Creators
- Natally Horvat - Hospital Sírio-LibanêsAntonio Sergio Zafred Marcelino - Hosp Sirio Libanes, Dept Radiol, Rua Dona Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilJoao Vicente Horvat - Universidade de São PauloTassia Regina Yamanari - Hospital Sírio-LibanêsJose de Arimateia Batista Arajo-Filho - Hosp Sirio Libanes, Dept Radiol, Rua Dona Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilPedro Panizza - Hosp Sirio Libanes, Dept Radiol, Rua Dona Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilJoao Seda-Neto - Hosp Sirio Libanes, Dept Surg, Rua Dona Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilEduardo Antunes da Fonseca - Hosp Sirio Libanes, Dept Surg, Rua Dona Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilFrancisco Cesar Carnevale - Universidade de São PauloLuciana Mendes de Oliveira Cerri - Hospital Sírio-LibanêsPaulo Chapchap - Hospital Sírio-LibanêsGiovanni Guido Cerri - Hospital Sírio-Libanês
- Resource Type
- Journal article
- Publication Details
- Radiographics, Vol.37(6), pp.1612-1631
- Publisher
- Radiological Soc North America
- DOI
- 10.1148/rg.2017170022
- PMID
- 29019744
- ISSN
- 0271-5333
- eISSN
- 1527-1323
- Number of pages
- 20
- Language
- English
- Date published
- 10/01/2017
- Academic Unit
- Radiology
- Record Identifier
- 9984697639302771
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