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CardioVascular and Interventional Radiology

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01-12-2013 | Clinical Investigation

Interventional Radiological Treatment of Perihepatic Vascular Stenosis or Occlusion in Pediatric Patients After Liver Transplantation

Authors: Wibke Uller, Birgit Knoppke, Andreas G. Schreyer, Peter Heiss, Hans J. Schlitt, Michael Melter, Christian Stroszczynski, Niels Zorger, Walter A. Wohlgemuth

Published in: CardioVascular and Interventional Radiology | Issue 6/2013

Abstract

Purpose

Evaluation of the efficacy and safety of percutaneous treatment of vascular stenoses and occlusions in pediatric liver transplant recipients.

Methods

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.

Results

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).

Conclusion

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.

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Title: Interventional Radiological Treatment of Perihepatic Vascular Stenosis or Occlusion in Pediatric Patients After Liver Transplantation
Authors: Wibke Uller
Birgit Knoppke
Andreas G. Schreyer
Peter Heiss
Hans J. Schlitt
Michael Melter
Christian Stroszczynski
Niels Zorger
Walter A. Wohlgemuth
Publication date: 01-12-2013
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 6/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-013-0595-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Interventional Radiological Treatment of Perihepatic Vascular Stenosis or Occlusion in Pediatric Patients After Liver Transplantation

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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