Interventional Radiological Treatment of Paediatric Liver Transplantation Complications
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F20%3A10410820" target="_blank" >RIV/00216208:11110/20:10410820 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/20:43919751 RIV/00216208:11130/20:10410820 RIV/00064203:_____/20:10410820 RIV/00064190:_____/20:N0000020 RIV/00023001:_____/20:00079642
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=Zrcyl9Yi9B" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=Zrcyl9Yi9B</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00270-020-02430-8" target="_blank" >10.1007/s00270-020-02430-8</a>
Alternative languages
Result language
angličtina
Original language name
Interventional Radiological Treatment of Paediatric Liver Transplantation Complications
Original language description
Purpose To assess the efficacy of percutaneous techniques in managing paediatric liver transplantation complications. Material and Methods We carried out 105 paediatric cadaveric donor liver transplantations at our centre from 2001 to 2018. Percutaneous techniques were used to treat 25 cases involving transplantation complications in 23 patients. Biliary complications were treated in 14 cases (13.3%): 10 patients had bile duct obstruction, and 4 had biliary leaks. Vascular complications were treated in 11 cases (10.5%): 5 hepatic artery (HA) stenoses/occlusions, 2 inferior vena cava (IVC) stenoses, and 1 portal vein (PV) stenosis. Other interventions involved embolisation of the superior mesenteric artery branch to manage gastrointestinal bleeding in 2 patients and embolisation of an arteriobiliary fistula in 1 patient. Results Biliary: We carried out external-internal drainage and balloon dilatation of stenoses in 12 cases. The external-internal drainage catheter was removed after 6-8 weeks in 7 patients, with the remaining 5 patients with persisting stenosis assigned for retransplantation. We failed to cross anastomotic occlusions in 2 patients before completing the procedures using external drainage; both individuals subsequently underwent retransplantation. Vascular: We performed PTA/stenting of HA stenoses/occlusions in 4 out of 5 patients. After the procedure, all 4 patients showed liver function normalisation. All 3 cases of embolisation were technically and clinically successful. Both IVC and PV stenoses treated with dilatation/stenting were also successful. Conclusions Percutaneous techniques used to treat biliary and vascular complications after liver transplantation in paediatric patients are safe and efficient.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2020
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
CardioVascular and Interventional Radiology
ISSN
0174-1551
e-ISSN
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Volume of the periodical
43
Issue of the periodical within the volume
5
Country of publishing house
US - UNITED STATES
Number of pages
10
Pages from-to
765-774
UT code for WoS article
000515994300002
EID of the result in the Scopus database
2-s2.0-85079451186