Uller, Wibke and Knoppke, Birgit and Schreyer, Andreas G. and Heiss, Peter and Schlitt, Hans J. and Melter, Michael and Stroszczynski, Christian and Zorger, Niels and Wohlgemuth, Walter A. (2013) Interventional Radiological Treatment of Perihepatic Vascular Stenosis or Occlusion in Pediatric Patients After Liver Transplantation. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 36 (6). pp. 1562-1571. ISSN 0174-1551, 1432-086X
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Evaluation of the efficacy and safety of percutaneous treatment of vascular stenoses and occlusions in pediatric liver transplant recipients. Fifteen children (mean age 8.3 years) underwent interventional procedures for 18 vascular complications after liver transplantation. Patients had stenoses or occlusions of portal veins (n = 8), hepatic veins (n = 3), inferior vena cava (IVC; n = 2) or hepatic arteries (n = 5). Technical and clinical success rates were evaluated. Stent angioplasty was performed in seven cases (portal vein, hepatic artery and IVC), and sole balloon angioplasty was performed in eight cases. One child underwent thrombolysis (hepatic artery). Clinical and technical success was achieved in 14 of 18 cases of vascular stenoses or occlusions (mean follow-up 710 days). Pediatric interventional radiology allows effective and safe treatment of vascular stenoses after pediatric liver transplantation (PLT). Individualized treatment with special concepts for each pediatric patient is necessary. The variety, the characteristics, and the individuality of interventional management of all kinds of possible vascular stenoses or occlusions after PLT are shown.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HEPATIC-ARTERY THROMBOSIS; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; VENOUS OUTFLOW OBSTRUCTION; ENDOVASCULAR TREATMENT; TRANSHEPATIC VENOPLASTY; COMPLICATIONS; VEIN; CHILDREN; THROMBOLYSIS; UROKINASE; Pediatric interventions; Pediatric liver transplantation; Arterial intervention; Venous intervention; Portal vein intervention |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Kinder- und Jugendmedizin Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Mar 2020 05:20 |
| Last Modified: | 26 Mar 2020 05:20 |
| URI: | https://pred.uni-regensburg.de/id/eprint/15640 |
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