Interventional Radiological Management of the Complications of Renal Transplantation

Johnson, Stephen; Berry, Robert S.

doi:10.1055/s-2001-12838

Cited by 11 publications

(7 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indwelling catheter drainage alone has been used with some success (59), but the combination of indwelling catheter drainage and sclerotherapy is more effective, with a reported success rate of 68%-100% (48). Sinography is performed prior to sclerotherapy to help exclude communication between a lymphocele and adjacent vital structures (Fig 23).…”

Section: Lymphocelementioning

confidence: 98%

“…Because this access route will be used in the subsequent intervention, caliceal puncture minimizes the risk of vascular injuries during intervention. The lateral calix is ideal for entry, since this route avoids a possible transperitoneal approach that is more painful for the patient and is associated with the risk of injury to organs and vessels that may overlie the allograft (48). The Whitaker test, a pressure flow examination, is rarely performed nowadays because it provides little additional information (49).…”

Section: Ureteral Obstructionmentioning

confidence: 99%

“…Fluid collections occurring in the early postoperative period include urinomas, hematomas, and abscesses. Lymphoceles, which are the most common fluid collections, usually occur weeks to months after transplantation (48).…”

Section: Perigraft Fluid Collectionsmentioning

confidence: 99%

See 2 more Smart Citations

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Kobayashi¹,

Censullo²,

Rossman³

et al. 2007

RadioGraphics

137

View full text Add to dashboard Cite

Renal transplantation is the treatment of choice for most patients with end-stage renal disease. However, in spite of continuous progress in surgical techniques and immunosuppressive therapy, a wide variety of vascular and nonvascular complications can arise postoperatively. Vascular complications include transplant renal artery stenosis, arteriovenous fistulas or intrarenal pseudoaneurysms following renal transplant biopsy, extrarenal pseudoaneurysms, and graft thrombosis. Nonvascular complications include urologic complications (eg, ureteral obstruction, urine leak) and perigraft fluid collections (eg, lymphocele, abscess, hematoma, urinoma). These postoperative complications can be diagnosed and managed with minimally invasive techniques; however, an understanding of renal transplant anatomy and the risks of posttransplantation immunosuppressive therapy unique to this patient population is essential to their successful application. In addition, familiarity with the indications for and limitations of these techniques as well as collaboration between the radiologist and the transplantation surgeon are vital for maximizing the chances of renal allograft survival.

show abstract

Section: Lymphocelementioning

confidence: 98%

Section: Ureteral Obstructionmentioning

confidence: 99%

See 1 more Smart Citation

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Kobayashi¹,

Censullo²,

Rossman³

et al. 2007

RadioGraphics

137

View full text Add to dashboard Cite

show abstract

“…Nearly 3.3% of adult renal transplant recipients have been reported to develop symptomatic lymphoceles (Fukker et al 2003). While simple percutaneous drainage of lymphoceles is associated with high rates of recurrence, the combination of an indwelling therapy and sclerotherapy has demonstrated success rates of approximately 80-90% (Johnson and Berry 2001).…”

Section: Perinephric Fluid Collectionsmentioning

confidence: 99%

Radiological Investigation and Intervention in Pediatric Solid Organ Transplantation

Tanimoto¹,

Rajeswaran²,

Stanley³

et al. 2017

Solid Organ Transplantation in Infants and Children

View full text Add to dashboard Cite

Interventional radiologists offer minimally invasive alternative treatments for many complications of liver and renal transplantation. Complications that are amenable to interventional radiologic treatments include vascular complications, biliary complications, and ureteral complications. Studies in adult and pediatric transplant recipients have demonstrated successful outcomes of minimally invasive treatments of posttransplant complications, some of which are now considered first-line treatments.

show abstract

“…The optimal approach with this technique is via the lateral calyx, as this method can eliminate the need for a transperitoneal approach, which is more painful, and also avoids vessels that may overlie the allograft. 56 Although retrograde pyelography is optimal for ureteral evaluation in patients undergoing ureteropyelostomy or ureteroureterostomy, this technique is often difficult to perform in patients with a ureteroneocystostomy, as cannulation of the ureter is challenging in such instances. Once the ureteral obstruction is diagnosed, a nephrostomy catheter may be placed for decompression.…”

Section: Ureteral Obstructionmentioning

confidence: 99%

Iatrogenic-Related Transplant Injuries: The Role of the Interventional Radiologist

Copelan

George

Kapoor

et al. 2015

Semin intervent Radiol

View full text Add to dashboard Cite

As advances in surgical techniques and postoperative care continue to improve outcomes, the use of solid organ transplants as a treatment for end-stage organ disease is increasing. With the growing population of transplant patients, there is an increasing need for radiologic diagnosis and minimally invasive procedures for the management of posttransplant complications. Typical complications may be vascular or nonvascular. Vascular complications include arterial stenosis, graft thrombosis, and development of fistulae. Common nonvascular complications consist of leaks, abscess formation, and stricture development. The use of interventional radiology in the management of these problems has led to better graft survival and lower patient morbidity and mortality. An understanding of surgical techniques, postoperative anatomy, radiologic findings, and management options for complications is critical for proficient management of complex transplant cases. This article reviews these factors for kidney, liver, pancreas, islet cell, lung, and small bowel transplants.

show abstract

Interventional Radiological Management of the Complications of Renal Transplantation

Cited by 11 publications

References 50 publications

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Interventional Radiologic Management of Renal Transplant Dysfunction: Indications, Limitations, and Technical Considerations

Radiological Investigation and Intervention in Pediatric Solid Organ Transplantation

Iatrogenic-Related Transplant Injuries: The Role of the Interventional Radiologist

Contact Info

Product

Resources

About