Long-Term Outcome of Percutaneous Transhepatic Balloon Angioplasty for Portal Vein Stenosis after Pediatric Living Donor Liver Transplantation: A Single Institute’s Experience

Yabuta, Minoru; Shibata, Toshiya; Shibata, Toshinobu; Shinozuka, Ken; Isoda, Hiroyoshi; Okamoto, Shinya; Üemoto, Shinji; Togashi, Kaori

doi:10.1016/j.jvir.2014.03.034

Cited by 49 publications

(90 citation statements)

References 24 publications

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“…The conclusive cure rate with IVR treatment in hepatic vein complications was 84.2%, in portal vein complications was 97.4%, in hepatic artery complications was 100%, and in biliary complications was 88.0% (Table ). Furthermore, it has been reported that the cure rate from IVR treatment for hepatic vein, portal vein, and biliary complications was greater than 85% (Table ) . In addition, in the present study, the graft survival rates in patients with and without post‐transplant vascular and biliary complications were 94.4% and 90.6%, respectively ( P = 0.522).…”

Section: Discussionsupporting

confidence: 48%

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Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

et al. 2018

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There are few long-term outcome reports for interventional radiology (IVR) treatments for vascular and biliary complications following pediatric living donor liver transplantation (LDLT). Herein, we presented our institution's experience and investigated the efficacy and issues of long-term outcome with IVR treatments. Between May 2001 and September 2016, 279 pediatric LDLTs were performed. The median age at LDLT was 1.4 years old, and the median observation period was 8.2 years. All the biliary reconstructions at LDLT were hepaticojejunostomy. The IVR treatments were selected as endovascular, radiological, or endoscopic interventions. Post-transplant hepatic vein, portal vein, hepatic artery, and biliary complications were present in 7.9%, 14.0%, 5.4%, and 18.3%, respectively. IVR treatment was the first treatment option in 81.8%, 94.9%, 46.7%, and 94.1%, respectively. The recurrence and cure rates following IVR treatment were 42.1%, 21.1%, 44.4%, and 34.0% and 84.2%, 97.4%, 100%, and 88.0%, respectively. The graft survival rates in patients with and without post-transplant vascular and biliary complications were 94.4% and 90.6%, respectively (P = 0.522). The IVR treatments for vascular and biliary complications following pediatric LDLT are the first choice option. Although the recurrence following IVR treatment is a major problem and it is necessary to carefully perform long-term follow-up, IVR treatments have good treatment outcomes.

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Section: Discussionsupporting

confidence: 48%

“…In recent years, with advances in endovascular and endoscopic instruments and techniques, reports of novel endovascular and endoscopic treatments for vascular and biliary complications have increased. Therefore, endovascular and endoscopic interventions may become the first‐line treatment, even in pediatric recipients .…”

Section: Discussionmentioning

confidence: 99%

Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

et al. 2018

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“…In our reported study [17] , the rates of technical success, primary patency and primary-assisted patency were evaluated. Technical success is defined as success in interventional procedures.…”

Section: Resultsmentioning

confidence: 99%

Interventional radiology for post-transplant anastomotic complications

Shibata¹

2017

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How to cite this article: Shibata T. Interventional radiology for post-transplant anastomotic complications. Hepatoma Res 2017;3:221-7.The effectiveness of percutaneous interventional radiology for anastomotic stricture in hepatic vein, portal vein, and biliary tract after living donor liver transplantation (LDLT) is described. As a number of patients with LDLT are infants < 10-year-old in the study, the first treatment option was balloon dilatation, not primary stenting. However, stent placement was performed in patients with recurrent, repeated stenosis. Key words:Interventional radiology, living donor liver transplantation, balloon dilatation, stent placement ABSTRACTArticle history:

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“…[11] Patients typically present with signs of portal hypertension such as splenomegaly, variceal bleeding and ascites. Diagnosis is usually made with Doppler US.…”

Section: Portal Vein Stenosismentioning

confidence: 99%

The role of interventional radiology in complications after paediatric liver transplantation

Cantrell

2014

S Afr Med J

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Long-Term Outcome of Percutaneous Transhepatic Balloon Angioplasty for Portal Vein Stenosis after Pediatric Living Donor Liver Transplantation: A Single Institute’s Experience

Cited by 49 publications

References 24 publications

Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

Interventional radiology for post-transplant anastomotic complications

The role of interventional radiology in complications after paediatric liver transplantation

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