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Radiology
Interventional Radiology in the Diagnosis and Management of Post Liver and Kidney Transplant Complications
Built from Fundamentals of Diagnostic Radiology
What’s inside
8 sections · 101 slides
Introduction
How imaging finds and treats transplant complications
- Why postoperative imaging matters
- Four groups of transplant complications
- How the complications are subdivided
- The imaging toolkit
- Kidney transplant complications overview
- Liver transplant complications overview
- Screening and management approach for liver transplant complications
Surgical techniques
The anastomoses behind every transplant
- Connections made at transplant
- Liver transplant — hepatic artery and portal vein
- Liver transplant — IVC and bile duct
- Types of liver grafts
- Surgical techniques for liver transplantation
- Kidney transplant — vascular connections
- Extraperitoneal versus intraperitoneal placement
- Vascular anastomoses in kidney transplantation
Vascular complications
Inflow and outflow problems, by vessel
- Hepatic inflow vessels and their problems
- Why the hepatic artery matters
- Hepatic artery stenosis — what it is
- Hepatic artery stenosis — Doppler findings
- Hepatic artery stenosis — confirm and treat
- Hepatic artery stenosis
- Hepatic artery thrombosis — what it is
- Acute hepatic artery thrombosis
- Hepatic artery pseudoaneurysm
- Hepatic artery pseudoaneurysm — imaging
- Hepatic artery pseudoaneurysm
- Splenic steal syndrome
- Splenic steal — diagnosis and treatment
- Splenic steal syndrome
- Portal vein stenosis
- Portal vein stenosis — confirm and treat
- Portal vein stenosis
- Portal vein thrombosis
- THAD — why the liver lights up unevenly
- Portal vein thrombosis — treatment
- Transient hepatic attenuation difference — portal vein thrombosis
- Hepatic infarct
- Renal inflow — the renal artery
- Renal artery stenosis
- Renal artery stenosis — Doppler and treatment
- Renal artery stenosis
- Renal artery thrombosis
- Renal artery thrombosis — treatment
- Renal artery pseudoaneurysm
- Renal artery pseudoaneurysm
- Arteriovenous fistula
- Renal artery arteriovenous fistula
- Hepatic outflow — IVC and hepatic veins
- IVC stenosis
- IVC stenosis
- IVC thrombosis
- Hepatic vein stenosis
- Hepatic vein stenosis
- Hepatic vein thrombosis
- Hepatic vein thrombosis
- Renal vein thrombosis
- Renal vein thrombosis — imaging and treatment
- Renal vein thrombosis
Biliary complications
Leaks and obstruction after liver transplant
- Biliary complications overview
- Biliary leak
- Biliary leak
- Biliary obstruction — strictures
- Enterobiliary anastomotic stricture
- Biliary obstruction — stones and debris
Urinary complications
Urine leak and obstruction after kidney transplant
- Urine leak
- Urine leak — imaging appearance
- Urine leak and urinoma
- Urine leak — treatment
- Urinary obstruction
- Urinary obstruction — imaging
- Urinary obstruction — treatment
- Ureteral stricture causing urinary obstruction
Extrinsic complications
Fluid collections around the graft
- Abdominal fluid collections
- Hematoma
- Lymphocele
- Lymphocele
- Lymphocele — treatment
Intrinsic complications
Disease arising within the graft
- Posttransplant lymphoproliferative disease (PTLD)
- Posttransplant lymphoproliferative disease (PTLD)
- Hepatocellular carcinoma (HCC)
- Hepatocellular carcinoma
- Renal cell carcinoma (RCC)
- Renal cell carcinoma
- Other intrinsic complications
- Kidney graft dysfunction — delayed function
- Kidney graft rejection
- Rejection — biopsy and Doppler clues
- Acute rejection
Takeaways
Patterns that guide management
- Takeaways
- Suggested readings
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- Brant and Helms' Fundamentals of Diagnostic Radiology