Diagnosis and treatment of pediatric patients with late-onset portal vein stenosis after living donor liver transplantation

被引：33

作者：

Kawano, Youichi ^{[1
]}

Mizuta, Koichi ^{[1
]}

Sugawara, Yasuhiko ^{[2
]}

Egami, Satoshi ^{[1
]}

Hisikawa, Shuji ^{[1
]}

Sanada, Yukihiro ^{[1
]}

Fujiwara, Takehito ^{[3
]}

Sakuma, Yasunaru ^{[3
]}

Hyodo, Masanobu ^{[3
]}

Yoshida, Yoshiyuki ^{[4
]}

Yasuda, Yoshikazu ^{[3
]}

Sugimoto, Eiji ^{[4
]}

Kawarasaki, Hideo ^{[1
]}

机构：

[1] Jichi Med Univ, Dept Transplant Surg, Ctr Mol Med, Shimotsuke, Tochigi 3290498, Japan

[2] Univ Tokyo, Grad Sch Med, Dept Surg, Artificial Organ & Transplantat Div, Tokyo, Japan

[3] Jichi Med Univ, Ctr Mol Med, Dept Surg, Shimotsuke, Tochigi 3290498, Japan

[4] Jichi Med Univ, Ctr Mol Med, Dept Radiol, Shimotsuke, Tochigi 3290498, Japan

来源：

TRANSPLANT INTERNATIONAL | 2009年 / 22卷 / 12期

关键词：

complication; interventional radiology; living donor liver transplantation; pediatric; portal vein stenosis; VASCULAR COMPLICATIONS; LONG-TERM; VENOUS COMPLICATIONS; DOPPLER US; ANGIOPLASTY; THROMBOSIS; ANGIOGRAPHY; PREVENTION; RECIPIENTS; CHILDREN;

D O I：

10.1111/j.1432-2277.2009.00932.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

P>Portal vein stenosis (PVS) after living donor liver transplantation (LDLT) is a serious complication that can lead to graft failure. Few studies of the diagnosis and treatment of late-onset (>= 3 months after liver transplantation) PVS have been reported. One hundred thirty-three pediatric (median age 7.6 years, range 1.3-26.8 years) LDLT recipients were studied. The patients were followed by Doppler ultrasound (every 3 months) and multidetector helical computed tomography (once a year). Twelve patients were diagnosed with late-onset PVS 0.5-6.9 years after LDLT. All cases were successfully treated with balloon dilatation. Five cases required multiple treatments. Early diagnosis of late-onset PVS and interventional radiology therapy treatment may prevent graft loss.

引用

页码：1151 / 1158

页数：8

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