Enlarging vascular stents after pediatric liver transplantation
| Autor: | Hsin-Lin Tsai, Yi-Ting Yeh, Cheng-Yen Chen, Chinsu Liu, Niang-Cheng Lin, Choufu Wei, Hsiou-Shan Tseng, Hsin-Kai Wang |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Population Constriction Pathologic 030230 surgery Liver transplantation Hepatic Veins 03 medical and health sciences 0302 clinical medicine medicine Deformity Humans cardiovascular diseases education Vein Retrospective Studies education.field_of_study business.industry Portal Vein Stent Infant General Medicine Hypertrophy equipment and supplies Evidence level medicine.disease Surgery Vascular stent Liver Transplantation Stenosis surgical procedures operative medicine.anatomical_structure Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology Female Stents Radiology medicine.symptom business |
| Zdroj: | Journal of pediatric surgery. 52(12) |
| ISSN: | 1531-5037 |
| Popis: | Background Endovascular intervention with stent placement to treat portal vein (PV) and hepatic vein (HV) stenosis after pediatric liver transplantation (LT) is still controversial in small children owing to the potential risk of functional stenosis after growth. The aim of this study is to evaluate the safety and efficacy of stent placement in this population. Methods Between 2004 and 2016, 6 children (all n = 2) and PV ( n = 4) stents placement among 46 pediatric LT patients at our institution. The clinical outcome and patency rate were followed. Morphologic changes of stents were assessed from plain films by a new index: the stent diameter ratio (SDR). Results The median age of the patients at LT was 8.9 months. The patency rate was 100% without functional stenosis during a median follow-up period of 65.5 months. The "stent growth" phenomenon was demonstrated by SDR with significant resolution of hourglass deformity 2 years after stent placement ( p for trend Conclusion Vascular stent placement is a safe and effective method for the management of PV and HV stenosis following pediatric LT because these stents will enlarge as children grow. Type of study Case Series with no Comparison Group Level of evidence Level IV. |
| Databáze: | OpenAIRE |
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