Endovascular Treatment of Arterial Complications After Liver Transplantation: Long-Term Follow-Up Evaluated on Doppler Ultrasound and Magnetic Resonance Cholangiopancreatography

Autor: Ailton Sepulveda, Sylvain Terraz, Lawrence F. Pupulim, Nicolas Goossens, Federica Dondero, Maxime Ronot, Claire Francoz, Romain Breguet, François Durand, Valérie Vilgrain
Rok vydání: 2018
Předmět:
Male
medicine.medical_treatment
Liver transplantation
030218 nuclear medicine & medical imaging
Ultrasonography
Doppler/methods
Hepatic Artery
Postoperative Complications
0302 clinical medicine
ddc:616
medicine.diagnostic_test
Liver/blood supply/diagnostic imaging/surgery
Endovascular Procedures
Ultrasound
Middle Aged
Thrombosis
Dissection
surgical procedures
operative
Treatment Outcome
medicine.anatomical_structure
Liver
Female
Radiology
Hepatic Artery/diagnostic imaging
Cardiology and Cardiovascular Medicine
Artery
Adult
medicine.medical_specialty
Cholangiopancreatography
Magnetic Resonance
Arterial Occlusive Diseases
ddc:616.0757
Young Adult
03 medical and health sciences
medicine
Humans
Radiology
Nuclear Medicine and imaging
Aged
Retrospective Studies
Magnetic resonance cholangiopancreatography
business.industry
Arterial Occlusive Diseases/diagnostic imaging/surgery
Ultrasonography
Doppler
Postoperative Complications/diagnostic imaging/surgery
medicine.disease
Liver Transplantation
Endovascular Procedures/methods
Stenosis
business
Complication
Cholangiopancreatography
Magnetic Resonance/methods
Follow-Up Studies
Zdroj: Cardiovascular and Interventional Radiology, Vol. 42, No 3 (2019) pp. 381-388
ISSN: 1432-086X
0174-1551
DOI: 10.1007/s00270-018-2108-8
Popis: To evaluate long-term arterial patency and abnormalities of bile ducts in patients that had endovascular treatment for arterial complications after liver transplantation (LT). Between 2004 and 2014, 1048 LTs were consecutively performed in our institution and 53 patients (42 men; age range 19–69) were diagnosed and treated by endovascular techniques for arterial complications such as stenosis, thrombosis, dissection or kinking of the hepatic artery (HA). Radiological and surgical data were retrospectively analyzed, and survivors were contacted to undergo follow-up Doppler ultrasound (DUS) of the HA and magnetic resonance cholangiopancreatography. The primary technical success of endovascular treatment was 94% (n = 50). The patency rate of HA at 5-year was 81%. After a median follow-up of 58 months, 17 patients (32%) developed radiological features of ischemic cholangiopathy (IC), including 7 patients with abnormal DUS and 10 with normal DUS. Patients who presented with complications of the HA in the first 3 months after LT developed IC more frequently (42%) than others (12%) (p = 0.028). No other factor was associated with the development of IC. IC was more often observed when HA complication occurred within the first 3 months after LT. The presence of IC was not excluded by a normal DUS during follow-up.
Databáze: OpenAIRE
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