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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 12
Dec.  2016
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Article Contents

Imaging evaluation of complications after liver transplantation

DOI: 10.3969/j.issn.1001-5256.2016.12.013
  • Published Date: 2016-12-20
  • Liver transplantation is an effective treatment for end- stage chronic liver diseases and acute liver failure. With the rapid development of surgical techniques,organ preservation technology,and pharmacotherapy,patients' survival rates are improved constantly. However,postoperative complications are still major influencing factors for postoperative incidence and mortality rates. Since clinical and laboratory examinations lack specificity and it is difficult to diagnose various postoperative complications,the application of imaging techniques effectively solves such problems. This article summarizes the imaging findings of common complications after liver transplantation,such as vascular complications,biliary complications,liver parenchyma lesions,and postoperative infection,and points out that imaging examinations have significant advantages and can be used for comprehensive evaluation of disease progression.

     

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  • [1]VARMA V,MEHTA N,KUMARAN V,et al.Indications and contraindications for liver transplantation[J].Int J Hepatol,2011,2011:1-9.
    [2]DUFFY JP,HONG JC,FRMER DG,et al.Vascular complications of orthotopic liver transplantation:experience in more than 4,200patients[J].J Am Coll Surg,2009,208(5):896-903.
    [3]ZHU J,LI BQ,HUANG ZK.CT and MRI diagnosis of complications after liver transplantation[J].Radiol Practice,2008,23(9):1014-1017.(in Chinese)朱娟,李葆青,黄仲奎,肝移植术后并发症的CT和MRI诊断[J].放射学实践,2008,23(9):1014-1017.
    [4]FOUZAS I,SKLAVOS A,BISMPA K,et al.Hepatic artery thrombosis after orthotopic liver transplantation:3 patients with collateral formation and conservative treatment[J].Transplant Proc,2012,44(9):2741-2744.
    [5]YANG H,ZHANG SJ.Research advances in treatment of vascular complications after liver transplantation[J/CD].Prac J Organ Transplantat:Electronic Version,2014,2(5):317-320.(in Chinese)杨翰,张水军.肝移植术后血管并发症及其治疗进展[J/CD].实用器官移植电子杂志,2014,2(5):317-320.
    [6]HAN H,WANG WP.Progress in application of ultrasound and contrast-enhanced ultrasound in vascular evaluation during and after liver transplantation[J/CD].Chin J Med Ultrasound:Electronic edition,2014,11(10):782-785.(in Chinese)韩红,王文平.超声及超声造影在肝移植术中及术后血管评价中的应用及进展[J/CD].中华医学超声杂志:电子版,2014,11(10):782-785.
    [7]WIGHAM A,ALEXANDER GRANT L.Preoperative hepatobiliary imaging:what does the radiologist need to know?[J].Semin Ultrasound CT MR,2013,34(1):2-17.
    [8]LOW G,CROCKETT AM,LEUNG K,et al.Imaging of vascular complications and their consequences following transplantation in the abdomen[J].Radiographics,2013,33(3):633-652.
    [9]MA L,LU Q,LUO Y,et al.Vascular complications after adult living donor liver transplantation:evaluation with ultrasonography[J].World J Gastroenterol,2016,22(4):1617-1626.
    [10]ISHIGAMI K,STOLPEN AH,AL-KASS FM,et al.Diagnostic value of gadolinium-enhanced 3D magnetic resonance angiography in patients with suspected hepatic arterial complications after liver transplantation[J].J Comput Assist Tomogr,2005,29(4):464
    [11]FRONGILLO F,GROSSI U,LIROSI MC,et al.Incidence,management,and results of hepatic artery stenosis after liver transplantation in the era of donor to recipient match[J].Transplant Proc,2013,45(7):2722-2725.
    [12]BISMPA K,ZLIKA S,FOUZAS I,et al.Imaging of complications of liver transplantation:multidetector computed tomography findings[J].Transplant Proc,2012,44(9):2751-2753.
    [13]HE YF,ZHOU J,QIU SJ,et al.Diagnosis and treatment of the complications of inferior vena cava and hepatic vein after liver transplantation:a report of 16 times of operations[J].Chin J Clin Med,2014,21(2):212-215.(in Chinese)贺轶锋,周俭,邱双健,等.肝移植术后下腔静脉和肝静脉并发症的诊治:附16例次报告[J].中国临床医学,2014,21(2):212-215.
    [14]REN XY,GAO N,LIU WX.Application of contrast-enhanced ultrasound in diagnosis of complications after liver transplantation[J].Med J The Chin People’s Armed Police Forces,2015,26(2):205-207.(in Chinese)任秀昀,高农,刘卫星.超声造影对肝移植术后并发症诊断的应用[J].武警医学,2015,26(2):205-207.
    [15]JIANG YL,CHEN H,LI CY,et al.Imaging diagnosis of portal vein stricture complicated with superior mesenteric venous thrombosis after liver transplantation[J].Chin J Dig Surg,2010,9(4):305-307.(in Chinese)姜英丽,陈虹,李朝阳,等.肝移植术后门静脉狭窄-肠系膜上静脉血栓的影像诊断[J].中华消化外科杂志,2010,9(4):305-307.
    [16]KALRA N,SHANKAR S,KHANDELWAL N.Imaging of portal cavernoma cholangiopathy[J].J Clin Exp Hepatol,2014,4(Suppl 1):s44-s52.
    [17]HAO P,XU YK,WU YK,et al.Role of multi-slice Cr and MRI in the diagnosis of complications after liver transplantation[J].Radiol Practice,2010,25(3):323-327.(in Chinese)郝鹏,许乙凯,吴元魁,等.MSCT和MRI诊断肝移植术后并发症[J].放射学实践,2010,25(3):323-327.
    [18]YUAN CH,XIU DR,JIANG B,et al.Analysis and management of the biliary complications after liver transplantations[J].Chin J Surg,2013,51(6):499-503.(in Chinese)原春辉,修典荣,蒋斌,等.肝移植术后胆道并发症危险因素和诊治分析[J].中华外科杂志,2013,51(6):499-503.
    [19]CAMACHO JC,COURSEY-MORENO C,TELLERIA JC,et al.Nonvascular post-liver transplantation complications from US screening to cross-sectional and interventional imaging[J].Radiographics,2015,35(1):87-104.
    [20]MENG XC,HUANG WS,XIE PY,et al.Role of multi-detector computed tomography for biliary complications after liver transplantation[J].World J Gastroenterol,2014,20(33):11856-11864.
    [21]KANTARCI M,PIRIMOGLU B,KARABULUT N,et al.Non-invasive detection of biliary leaks using Gd-EOB-DTPA-enhanced MR cholangiography:comparison with T2-weighted MR cholangiography[J].Eur Radiol,2013,23(10):2713-2722.
    [22]KINNER S,DECHNE A,PAUL A,et al.Detection of biliary stenoses in patients after liver transplantation:is there a different diagnostic accuracy of MRCP depending on the type of biliary anastomosis?[J].Eur J Radiol,2011,80(2):20-28.
    [23]ZHANG YQ,SHAN H.Imaging examination and evaluation of biliary complications after orthotopic liver transplantation[J].Foreign Med Sci Clin Radiol Fascicle,2007,30(3):177-182.(in Chinese)张亚琴,单鸿.原位肝移植术后胆道并发症的影像学检查与评价[J].国外医学临床放射学分册,2007,30(3):177-182.
    [24]XU YB,MIN ZG,JIANG HX,et al.Diagnostic value of magnetic resonance cholangiopancreatography for biliary complications in orthotopic liver transplantation:a meta-analysis[J].Transplant Proc,2013,45(6):2341-2346.
    [25]KOCHHAR G,PARUNGAO JM,HANOUNEH IA,et al.Biliary complications following liver transplantation[J].World J Gastroenterol,2013,19(19):2841-2846.
    [26]BARTON P,MAIER A,STEININGER R,et al.Biliary sludge after liver transplantation:1.Imaging findings and efficacy of various imaging procedures[J].AJR Am J Roentgenol,1995,164(4):859-864.
    [27]BORASCHI P,DONATI F,GIGONI R,et al.Biliary complications following orthotopic liver transplantation:may contrast-enhanced MR Cholangiography provide additional information?[J].Eur J Radiol Open,2016,3:108-116.
    [28]WIGHAM A,ALEXANDER GRANT L.Radiologic assessment of hepatobiliary surgical complications[J].Semin Ultrasound CT MR,2013,34(1):18-31.
    [29]FUJIKI M,AUCEJO F,KIM R.Adjuvant treatment of hepatocellular carcinoma after orthotopic liver transplantation:do we really need this?[J].Clin Transplant,2013,27(2):169-177.
    [30]LEE CH,BRUBAKER LM,GERBER DA,et al.MRI findings of recurrent hepatocellular carcinoma after liver transplantation:preliminary results[J].J Magn Reson Imaging,2011,33(6):1399-1405.
    [31]KORNASIEWICZ O,HOTWKO W,GRAT M,et al.Hepatic abscess:a rare complication after liver transplant[J].Clin Transplant,2016.[Epub ahead of print]
    [32]BORASCHI P,DONATI F.Complications of orthotopic liver transplantation:imaging findings[J].Abdom Imaging,2004,29(2):189-202.
    [33]LIU ZH,LIU HL,XU YL,et al.Liver failture patients with MRI image and pathological findings of research[J].China Mordern Doctor,2013,51(9):107-108.(in Chinese)刘哲辉,刘翰林,许云龙,等.肝脏衰竭患者MRI影像表现及病理结果研究[J].中国现代医生,2013,51(9):107-108.
    [34]JIANG T,LIU SY,XIAO XS.Recent advances in the imaging of organ transplant recipients with pulmonary infections[J].Imaging Pulm Infect,2010,16:404-410.(in Chinese)蒋涛,刘士远,肖湘生,器官移植后肺部感染影像相关问题[J].肺部感染影像学,2010,16:404-410.
    [35]ZHU YH.Interpretationof clinical practice guidelines in invasive fungal infection after solid organ transplantation[J/CD].Chin J Transplant:Electronic Edition,2010,4(1):75-77.(in Chinese)朱有华.解读《实体器官移植患者侵袭性真菌感染的诊断和治疗指南》[J/CD].中华移植杂志:电子版,2010,4(1):75-77.
    [36]PRASAD A,AGARWAL K,DEEPAK D,et al.Pulmonary aspergillosis:what CT can offer before it is too late![J].J Clin Diagn Res,2016,10(4):1-5.
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