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Semin intervent Radiol 2015; 32(02): 133-155
DOI: 10.1055/s-0035-1549842
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Iatrogenic-Related Transplant Injuries: The Role of the Interventional Radiologist

Alexander Copelan
1   Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
,
Daniel George
1   Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
,
Baljendra Kapoor
2   Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
,
Hahn Vu Nghiem
1   Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
,
Jonathan M. Lorenz
3   Section of Interventional Radiology, The University of Chicago, Chicago, Illinois
,
Brian Erly
2   Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
4   Case Western Reserve University School of Medicine, Cleveland, Ohio
,
Weiping Wang
2   Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

Publication Date:
28 May 2015 (online)

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Abstract

As advances in surgical techniques and postoperative care continue to improve outcomes, the use of solid organ transplants as a treatment for end-stage organ disease is increasing. With the growing population of transplant patients, there is an increasing need for radiologic diagnosis and minimally invasive procedures for the management of posttransplant complications. Typical complications may be vascular or nonvascular. Vascular complications include arterial stenosis, graft thrombosis, and development of fistulae. Common nonvascular complications consist of leaks, abscess formation, and stricture development. The use of interventional radiology in the management of these problems has led to better graft survival and lower patient morbidity and mortality. An understanding of surgical techniques, postoperative anatomy, radiologic findings, and management options for complications is critical for proficient management of complex transplant cases. This article reviews these factors for kidney, liver, pancreas, islet cell, lung, and small bowel transplants.

Keywords

organ transplantation - complications - interventional radiology - angioplasty - percutaneous
 

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