Interventional radiology in the treatment of post–liver transplant complications

Biliary complications after right lobe living donor liver transplantation: a single-centre experience

“…In patients in whom ERCP cannot bring about success, an external stent placement with PTC has been reported to yield successful results if these patients have dilated intrahepatic bile ducts. 13,14 In the present study, ERCP was successful in six out of 13 patients with biliary strictures and five out of seven patients with a biliary leakage. Furthermore, PTC was successful in four out of five patients with biliary strictures.…”

“…For short strictures and single duct anastomoses, a few sessions of dilatation and the placement of internal stents are reported to increase the success rates. In patients in whom ERCP cannot bring about success, an external stent placement with PTC has been reported to yield successful results if these patients have dilated intrahepatic bile ducts 13,14 . In the present study, ERCP was successful in six out of 13 patients with biliary strictures and five out of seven patients with a biliary leakage.…”

Biliary complications in recipients of living-donor liver transplantation

“…Even if an anastomotic leakage is minor, it will always contribute to subsequent stricture; therefore, treatment of the leakage is required. For an anastomotic stricture in a hepaticojejunostomy, conventional radiologic intervention, with stent placement or balloon dilatation after percutaneous biliary drainage, is usually successful ,. For a duct‐to‐duct anastomosis, the additional option of endoscopic management is available.…”

Biliary complications in liver transplantation

“…However, it is more difficult if the stricture is long and extends into the graft and segregates the right anterior and posterior hepatic ducts. Percutaneous transhepatic biliary drainage (PTBD) becomes the alternative measure and is usually successful [ 36 , 37 ]. In the situation when the intrahepatic ducts are not dilated and cannulation under ultrasound guidance is difficult, the risk of injury to the hepatic artery and portal veins is increased.…”