Interventional radiology procedures in pediatric patients with complications after liver transplantation. 2009

Roberto Miraglia, and Luigi Maruzzelli, and Settimo Caruso, and Gianluca Marrone, and Vincenzo Carollo, and Marco Spada, and Angelo Luca, and Bruno Gridelli
Department of Diagnostic and Interventional Radiology, Mediterranean Institute for Transplantation and Advanced Specialized Therapies, Palermo, Italy. rmiraglia@ismett.edu

Interventional radiologists play a key role in treating vascular and nonvascular complications of pediatric liver transplantation, improving graft and patient survival and in most cases avoiding the need for surgical revision or repeat transplantation. The interventional radiology procedures most commonly used in this context include percutaneous and transjugular liver biopsies performed with ultrasonographic and fluoroscopic guidance for the diagnosis of graft disease; angioplasty and stent placement for treatment of vascular and biliary occlusion, stenosis, and stricture; and catheter placement for drainage of fluid collections. Since interventional radiology procedures themselves may lead to complications, it is important that the radiologist be familiar with the indications for a particular procedure, the technical considerations, and the expected results, as well as with normal and abnormal postintervention imaging appearances.

UI MeSH Term Description Entries
D008107 Liver Diseases Pathological processes of the LIVER. Liver Dysfunction,Disease, Liver,Diseases, Liver,Dysfunction, Liver,Dysfunctions, Liver,Liver Disease,Liver Dysfunctions
D008297 Male Males
D010372 Pediatrics A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006084 Graft Rejection An immune response with both cellular and humoral components, directed against an allogeneic transplant, whose tissue antigens are not compatible with those of the recipient. Transplant Rejection,Rejection, Transplant,Transplantation Rejection,Graft Rejections,Rejection, Graft,Rejection, Transplantation,Rejections, Graft,Rejections, Transplant,Rejections, Transplantation,Transplant Rejections,Transplantation Rejections
D006086 Graft vs Host Disease The clinical entity characterized by anorexia, diarrhea, loss of hair, leukopenia, thrombocytopenia, growth retardation, and eventual death brought about by the GRAFT VS HOST REACTION. Graft-Versus-Host Disease,Homologous Wasting Disease,Runt Disease,Graft-vs-Host Disease,Disease, Graft-Versus-Host,Disease, Graft-vs-Host,Disease, Homologous Wasting,Disease, Runt,Diseases, Graft-Versus-Host,Diseases, Graft-vs-Host,Graft Versus Host Disease,Graft-Versus-Host Diseases,Graft-vs-Host Diseases
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015641 Radiography, Interventional Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization. Interventional Radiography

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