Diagnosis and interventional radiological treatment of vascular and biliary complications after liver transplantation in children with biliary atresia.

摘要: Abstract Objective Early diagnosis and appropriate management of vascular biliary complications after living donor liver transplantation (LDLT) result in longer survival. We report our institutional experience regarding radiological these among patients with atresia (BA) who underwent LDLT. Methods analyzed the records 116 children. All Doppler ultrasound (US) at operation, daily for first 2 postoperative weeks, when necessary thereafter. After primary evaluation using US, definite complication was confirmed computed tomography, magnetic resonance imaging, and/or operation. Results There were 61 boys 55 girls. The overall mean age 2.69 years. preoperative weight height 13.06 kg 83.79 cm, respectively. 28 (24.13%) complications. These cases stricture (n = 5), bile leakage 3), hepatic artery stenosis 6), vein 4), portal thrombosis 17). diagnostic accuracy US detecting complication, stenosis, venous 95.69%, 97.41%, 100%, combination multiple imaging modalities clinical suspicion resulted 100% accuracy. Percutaneous transhepatic cholangiography, thrombolysis, balloon angioplasty, stent placement performed noted. an early mortality due to multiple-organ failure failed invention subsequent surgical management. Conclusions is accurate pediatric LDLT BA. Radiological interventions are effective safe alternatives reconstructive surgery.