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Shibata. Hepatoma Res 2017;3:221-7 Hepatoma Research
DOI: 10.20517/2394-5079.2017.34
www.hrjournal.net
Review Open Access

Interventional radiology for post-transplant

anastomotic complications

Toshiya Shibata 1,2

1 Department of Radiological Technology, Faculty of Medical Science, Kyoto College of Medical Science, Kyoto 622-0041, Japan.
2 Department of Radiology, Kyoto University Graduate School of Medicine, Kyoto 606-8507, Japan.

Correspondence to: Dr. Toshiya Shibata, Department of Radiological Technology, Faculty of Medical Science, Kyoto College of Medical Science, 1-3
Imakita, Oyama-higashi, Sonobe, Nantan, Kyoto, 622-0041, Japan. E-mail: shibata@kyoto-msc.jp

How to cite this article: Shibata T. Interventional radiology for post-transplant anastomotic complications. Hepatoma Res 2017;3:221-7.
ABSTRACT

Article history: The effectiveness of percutaneous interventional radiology for anastomotic stricture in
Received: 3 Aug 2017 hepatic vein, portal vein, and biliary tract after living donor liver transplantation (LDLT) is
Accepted: 20 Sep 2017 described. As a number of patients with LDLT are infants < 10-year-old in the study, the first
Published: 25 Oct 2017 treatment option was balloon dilatation, not primary stenting. However, stent placement was
performed in patients with recurrent, repeated stenosis.
Key words:
Interventional radiology,
living donor liver transplantation,
balloon dilatation,
stent placement

INTRODUCTION postoperative vascular complications, such as hepatic
venous outflow obstruction (HVOO) at the anastomotic
Liver transplantation is an established treatment for site and anastomotic portal vein stenosis (PVS) [5-8] .
end-stage liver disease . The recent advances in Moreover, biliary complications remain common after
[1]
surgical techniques and immunosuppression have LDLT, and some studies suggested that biliary stricture
led to improvements of post-transplant outcomes but at the anastomotic site occurs more frequently in post-
various complications including bleeding, infections, LDLT patients than in deceased liver transplantation.
rejection, vascular complications at the anastomotic This is because of the small diameter of the anastomotic
site, and biliary complication will occur after liver portion of the bile duct, anatomical diversity of the
transplantations [2,3] . Although deceased donor liver bile ducts or the complicated nature of the surgical
transplantation is considered a standard procedure, procedure [9,10] .
living donor liver transplantation (LDLT) has been
widely performed owing to the shortage of donors . In this study, the effectiveness of interventional
[4]
LDLT is technically demanding because of the use of radiology (IR) for anastomotic complications after LDLT
short vascular pedicles, which are more likely to cause mainly in pediatric patients was described.

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