Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report
: The liver transplantation technique advances have allowed the endovascular treatment of stenosis between hepatic vein and inferior vena cava, and this has become an established and widely acceptable method for the treatment of patients with end‐stage liver disease. However, in spite of the advanc...
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| Veröffentlicht in: | Pediatric transplantation 2004-12, Vol.8 (6), p.576-580 |
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| container_title | Pediatric transplantation |
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| creator | Carnevale, Francisco Cesar Borges, Marcus Vinicius De Paula Pinto, Ricardo Augusto Oliva, José Luiz De Castro Andrade, Wagner Maksoud, João Gilberto |
| description | : The liver transplantation technique advances have allowed the endovascular treatment of stenosis between hepatic vein and inferior vena cava, and this has become an established and widely acceptable method for the treatment of patients with end‐stage liver disease. However, in spite of the advances in the surgical technique of liver transplantation there is relatively still a high incidence of postoperative complications, especially those related to vascular complications. One technical variant of orthotopic liver transplantation is the piggyback technique with conservation of the recipient vena cava, which is anastomosed to the graft hepatic veins. As a consequence of the increased number of liver transplants in children, there is a higher demand for endovascular treatment of vascular stenosis, such as those at the level of the hepatic veins. This leads to more consistent experience of endovascular treatment of the surgical vascular complications following liver transplantation. This article describes the case of a child submitted to liver transplantation with reduced graft (left lateral segment) who presented stenosis of the anastomosis between the hepatic vein and IVC 6 months later which was successfully treated by PTA. |
| doi_str_mv | 10.1111/j.1399-3046.2004.00213.x |
| format | Article |
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However, in spite of the advances in the surgical technique of liver transplantation there is relatively still a high incidence of postoperative complications, especially those related to vascular complications. One technical variant of orthotopic liver transplantation is the piggyback technique with conservation of the recipient vena cava, which is anastomosed to the graft hepatic veins. As a consequence of the increased number of liver transplants in children, there is a higher demand for endovascular treatment of vascular stenosis, such as those at the level of the hepatic veins. This leads to more consistent experience of endovascular treatment of the surgical vascular complications following liver transplantation. This article describes the case of a child submitted to liver transplantation with reduced graft (left lateral segment) who presented stenosis of the anastomosis between the hepatic vein and IVC 6 months later which was successfully treated by PTA.</description><identifier>ISSN: 1397-3142</identifier><identifier>EISSN: 1399-3046</identifier><identifier>DOI: 10.1111/j.1399-3046.2004.00213.x</identifier><identifier>PMID: 15598327</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Anastomosis, Surgical ; angioplasty ; Biological and medical sciences ; Catheterization ; Constriction, Pathologic - therapy ; Female ; General aspects ; Hepatic Artery - surgery ; hepatic vein stenosis ; Hepatic Veins - diagnostic imaging ; Hepatic Veins - pathology ; hepatic venous obstruction ; Humans ; Infant ; liver transplantation ; Liver Transplantation - adverse effects ; Liver Transplantation - methods ; Medical sciences ; Microsurgery ; Postoperative Period ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recurrence ; Regional Blood Flow ; Retreatment ; Ultrasonography, Doppler ; Vena Cava, Inferior - diagnostic imaging ; Vena Cava, Inferior - pathology</subject><ispartof>Pediatric transplantation, 2004-12, Vol.8 (6), p.576-580</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3973-6e2bddf65cfd2821031fbc0571463954fd2fa49f2285a03843a043b01fdbd1be3</citedby><cites>FETCH-LOGICAL-c3973-6e2bddf65cfd2821031fbc0571463954fd2fa49f2285a03843a043b01fdbd1be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-3046.2004.00213.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-3046.2004.00213.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16336280$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15598327$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carnevale, Francisco Cesar</creatorcontrib><creatorcontrib>Borges, Marcus Vinicius</creatorcontrib><creatorcontrib>De Paula Pinto, Ricardo Augusto</creatorcontrib><creatorcontrib>Oliva, José Luiz</creatorcontrib><creatorcontrib>De Castro Andrade, Wagner</creatorcontrib><creatorcontrib>Maksoud, João Gilberto</creatorcontrib><title>Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report</title><title>Pediatric transplantation</title><addtitle>Pediatr Transplant</addtitle><description>: The liver transplantation technique advances have allowed the endovascular treatment of stenosis between hepatic vein and inferior vena cava, and this has become an established and widely acceptable method for the treatment of patients with end‐stage liver disease. However, in spite of the advances in the surgical technique of liver transplantation there is relatively still a high incidence of postoperative complications, especially those related to vascular complications. One technical variant of orthotopic liver transplantation is the piggyback technique with conservation of the recipient vena cava, which is anastomosed to the graft hepatic veins. As a consequence of the increased number of liver transplants in children, there is a higher demand for endovascular treatment of vascular stenosis, such as those at the level of the hepatic veins. This leads to more consistent experience of endovascular treatment of the surgical vascular complications following liver transplantation. This article describes the case of a child submitted to liver transplantation with reduced graft (left lateral segment) who presented stenosis of the anastomosis between the hepatic vein and IVC 6 months later which was successfully treated by PTA.</description><subject>Anastomosis, Surgical</subject><subject>angioplasty</subject><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Constriction, Pathologic - therapy</subject><subject>Female</subject><subject>General aspects</subject><subject>Hepatic Artery - surgery</subject><subject>hepatic vein stenosis</subject><subject>Hepatic Veins - diagnostic imaging</subject><subject>Hepatic Veins - pathology</subject><subject>hepatic venous obstruction</subject><subject>Humans</subject><subject>Infant</subject><subject>liver transplantation</subject><subject>Liver Transplantation - adverse effects</subject><subject>Liver Transplantation - methods</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Postoperative Period</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recurrence</subject><subject>Regional Blood Flow</subject><subject>Retreatment</subject><subject>Ultrasonography, Doppler</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><subject>Vena Cava, Inferior - pathology</subject><issn>1397-3142</issn><issn>1399-3046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1vEzEQhi0EoiXwF5AvcNutv_YLiUNVpVCpEgiVs-W1x9SRYy_2Jmn_AT8bbxPRK754NH7fmfEzCGFKalrOxaamfBgqTkRbM0JETQijvH54gc7_Pbx8iruKU8HO0JucN4TQVvTiNTqjTTP0nHXn6M86mLhXWe-8SnhOoOYthBlHi_MMIWaX8QjzASDge5jU7DTegwtYBYNdsJBcTCUTFNZqr7CN3seDC7-wd3tYKqqQJ6_CXKwx4MWJ9b3z5hO-LJYMOMEU0_wWvbLKZ3h3ulfo5_X67uprdfvty83V5W2ly2d41QIbjbFto61hPaOEUztq0nRUtHxoRMlaJQbLWN8ownvBFRF8JNSa0dAR-Ap9PNadUvy9gzzLrcsafBkR4i7LtqMdGQrNFeqPQp1izgmsnJLbqvQoKZHLFuRGLrDlAlsuW5BPW5APxfr-1GM3bsE8G0_Yi-DDSVDIK28LJO3ys67lvGU9KbrPR93BeXj87wHk9_XdjxLxvz6apVQ</recordid><startdate>200412</startdate><enddate>200412</enddate><creator>Carnevale, Francisco Cesar</creator><creator>Borges, Marcus Vinicius</creator><creator>De Paula Pinto, Ricardo Augusto</creator><creator>Oliva, José Luiz</creator><creator>De Castro Andrade, Wagner</creator><creator>Maksoud, João Gilberto</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200412</creationdate><title>Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report</title><author>Carnevale, Francisco Cesar ; Borges, Marcus Vinicius ; De Paula Pinto, Ricardo Augusto ; Oliva, José Luiz ; De Castro Andrade, Wagner ; Maksoud, João Gilberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3973-6e2bddf65cfd2821031fbc0571463954fd2fa49f2285a03843a043b01fdbd1be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Anastomosis, Surgical</topic><topic>angioplasty</topic><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Constriction, Pathologic - therapy</topic><topic>Female</topic><topic>General aspects</topic><topic>Hepatic Artery - surgery</topic><topic>hepatic vein stenosis</topic><topic>Hepatic Veins - diagnostic imaging</topic><topic>Hepatic Veins - pathology</topic><topic>hepatic venous obstruction</topic><topic>Humans</topic><topic>Infant</topic><topic>liver transplantation</topic><topic>Liver Transplantation - adverse effects</topic><topic>Liver Transplantation - methods</topic><topic>Medical sciences</topic><topic>Microsurgery</topic><topic>Postoperative Period</topic><topic>Radiotherapy. 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However, in spite of the advances in the surgical technique of liver transplantation there is relatively still a high incidence of postoperative complications, especially those related to vascular complications. One technical variant of orthotopic liver transplantation is the piggyback technique with conservation of the recipient vena cava, which is anastomosed to the graft hepatic veins. As a consequence of the increased number of liver transplants in children, there is a higher demand for endovascular treatment of vascular stenosis, such as those at the level of the hepatic veins. This leads to more consistent experience of endovascular treatment of the surgical vascular complications following liver transplantation. 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| subjects | Anastomosis, Surgical angioplasty Biological and medical sciences Catheterization Constriction, Pathologic - therapy Female General aspects Hepatic Artery - surgery hepatic vein stenosis Hepatic Veins - diagnostic imaging Hepatic Veins - pathology hepatic venous obstruction Humans Infant liver transplantation Liver Transplantation - adverse effects Liver Transplantation - methods Medical sciences Microsurgery Postoperative Period Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recurrence Regional Blood Flow Retreatment Ultrasonography, Doppler Vena Cava, Inferior - diagnostic imaging Vena Cava, Inferior - pathology |
| title | Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report |
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