Liver transplant complications and interventional radiology management in a fourth level reference center in Cali, Colombia: A case series
DOI:
https://doi.org/10.59093/27112330.138Keywords:
liver transplant, interventional radiology, digital subtraction angiography.Abstract
The liver is currently the second most commonly transplanted organ worldwide, surpassed only by kidney transplantation. In our country, liver transplant rates are likewise increasing. Following transplantation, a variety of complications may arise, which are classified as early or late depending on the time of onset after surgery. Vascular complications such as stenosis or thrombosis of graft vessels are among the most frequently observed. Hepatic artery thrombosis is particularly concerning due to the risk it poses to the vascularization of the biliary tree and the potential loss of graft viability. In this article, we present our experience with eight patients who developed post-transplant complications, highlighting the critical role of interventional radiology in their management, primarily through minimally invasive procedures, which yielded favorable outcomes.
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Instituto Nacional de Salud. Informe ejecutivo red de donación y trasplantes, Colombia 2022. Bogotá, Colombia: Instituto Nacional de Salud, Dirección de Redes en Salud Pública. Disponible en https://www.ins.gov.co/BibliotecaDigital/Informe-ejecutivo-colombia-2022.pdf.
Brookmeyer CE, Bhatt S, Fishman EK, Sheth S. Multimodality imaging after liver transplant: top 10 important complications. Radiographics 2022;42:702-721. https://doi.org/10.1148/rg.210108.
Kimura Y, Sosa RT, Soto-Trujillo D, Sandoval YK, Casian C. Liver transplant complications radiologist can't miss. Cureus 2020;12:e8465. https://doi.org/10.7759/cureus.8465.
Naidu SG, Alzubaidi SJ, Patel IJ, Iwuchukwu C, Zurcher KS, Malik DG, Oklu R. Interventional radiology management of adult liver transplant complications. Radiographics 2022;42:1705-1723. https://doi.org/10.1148/rg.220011.
Camacho JC, Coursey-Moreno C, Telleria JC, Aguirre DA, Torres WE, Mittal PK. Nonvascular post-liver transplantation complications: from US screening to cross-sectional and interventional imaging. Radiographics 2015, 35:87-104. https://doi.org/10.1148/rg.351130023.
Caiado AH, Blasbalg R, Marcelino AS, da Cunha Pinho M, Chammas MC, da Costa Leite C, Machado MC. Complications of liver transplantation: multimodality imaging approach. Radiographics 2007;27:1401-1417. https://doi.org/10.1148/rg.275065129.
Drudi FM, Pagliara E, Cantisani V, Arduini F, D'Ambrosio U, Alfano G. Post-transplant hepatic complications: imaging findings. J Ultrasound 2007;10:53-58. https://doi.org/10.1016/j.jus.2007.02.004.
Sureka B, Bansal K, Rajesh S, Mukund A, Pamecha V, Arora A. Imaging panorama in postoperative complications after liver transplantation. Gastroenterol Rep 2016;4:96-106. https://doi.org/10.1093/gastro/gov057.
Horrow MM, Huynh MH, Callaghan MM, Rodgers SK. Complications after liver transplant related to preexisting conditions: diagnosis, treatment, and prevention. Radiographics 2020;40:895-909. https://doi.org/10.1148/rg.2019190120.
Welling TH, Heidt DG, Englesbe MJ, Magee JC, Sung RS, Campbell DA, Pelletier SJ. Biliary complications following liver transplantation in the model for end‐stage liver disease era: effect of donor, recipient, and technical factors. Liver Transplantation 2008;14:73-80. https://doi.org/10.1002/lt.21354.
Villa NA, Harrison ME. Management of biliary strictures after liver transplantation. Gastroenterol Hepatol. 2015;11:316–28.
Santos O, Londoño M, Marín J, Muñoz O, Mena A, Guzmán C, Correa G. Experiencia del trasplante hepático en Latinoamérica: en un centro médico en Colombia. Colomb Med 2015;46:8-13.
Duffy JP, Hong JC, Farmer DG, Ghobrial RM, Yersiz H, Hiatt JR, Busuttil RW. Vascular complications of orthotopic liver transplantation: experience in more than 4,200 patients. J Am Coll Surg 2009;208:896-903. https://doi.org/10.1016/j.jamcollsurg.2008.12.032.
Piardi T, Lhuaire M, Bruno O, Memeo R, Pessaux P, Kianmanesh R, Sommacale D. Vascular complications following liver transplantation: A literature review of advances in 2015. World J Hepatol 2016;8:36. https://doi.org/10.4254/wjh.v8.i1.36.
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