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Semin intervent Radiol 2004; 21(4): 309-320
DOI: 10.1055/s-2004-861565
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Interventional Radiology in the Treatment of the Complications of Organ Transplant in the Pediatric Population-Part 1: The Kidneys, Heart, Lungs, and Intestines

Alexander J. Towbin1 , Richard B. Towbin, Carlo Di Lorenzo2 , Ronald G. Grifka3
  • 1Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
  • 2Department of Gastroenterology, Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania
  • 3Department of Cardiology, Texas Children’s Hospital,. Houston, Texas
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Publication History

Publication Date:
07 January 2005 (online)

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ABSTRACT

Transplants continue to be the preferred treatment for end-stage organ disease in children. Transplants in children vary from adults due to the different indications and diseases leading to transplant, the smaller body size of children, and the different surgical techniques. These differences have led to a set of complications often seen in the transplanted child as well as interventional solutions tailored to their special needs. This paper will examine each transplanted solid organ (with the exception of the liver) and their associated complications. The interventional technique for each key procedure will be described.

KEYWORDS

Pediatric transplant - transplant complications - interventional radiology - interventional technique

REFERENCES

  • 1 Current data based on statistics from www.optn.org. Accessed February 21 2004
  • 2 Benfield M R. Current status of kidney transplant: update 2003.  Pediatr Clin North Am. 2003;  50 1301-1334
    CrossrefPubMedGoogle Scholar
  • 3 Osman Y, Shokeir A, Ali-El-Dein B et al.. Vascular complications after live donor renal transplantation: study of risk factors and effects on graft and patient survival.  J Urol. 2003;  169 859-862
    CrossrefPubMedGoogle Scholar
  • 4 Bhagat V J, Gordon R L, Osorio R W et al.. Ureteral obstructions and leaks after renal transplantation: outcome of percutaneous antegrade ureteral stent placement in 44 patients.  Radiology. 1998;  209 159-167
    PubMedGoogle Scholar
  • 5 Boucek M M, Faro A, Novick R J et al.. The registry of the international society for heart and lung transplantation: fourth official pediatric report - 2000.  J Heart Lung Transplant. 2001;  20 39-52
    PubMedGoogle Scholar
  • 6 Barnard C N. A human cardiac transplant.  S Afr Med J. 1967;  41 1271-1274
    PubMedGoogle Scholar
  • 7 Cooley D A, Bloodwell R D, Hallman G L. Cardiac transplantation for advanced acquired heart disease.  J Cardiovasc Surg (Torino). 1968;  9 403-413
    PubMedGoogle Scholar
  • 8 O'Laughlin M P, Bricker J T, Mullins C E et al.. Transcatheter closure of residual atrial septal defect following cardiac transplantation.  Cathet Cardiovasc Diagn. 1993;  28 162-163
    PubMedGoogle Scholar
  • 9 Doshi A A, Rogers J, Kern M J, Hauptman P J. Effectiveness of percutaneous coronary intervention in cardiac allograft vasculopathy.  Am J Cardiol. 2004;  93 90-92
    CrossrefPubMedGoogle Scholar
  • 10 Shah M, Anderson A S, Jayakar D et al.. Balloon-expandable stent placement for superior vena cava-right atrial stenosis after heart transplantation.  J Heart Lung Transplant. 2000;  19 705-709
    PubMedGoogle Scholar
  • 11 Sweet S C. Pediatric lung transplantation: update 2003.  Pediatr Clin North Am. 2003;  50 1393-1417
    CrossrefPubMedGoogle Scholar
  • 12 Schafers H J, Haydock D A, Cooper J D. The prevalence and management of bronchial anastomotic complications in lung transplantation.  J Thorac Cardiovasc Surg. 1991;  101 1044-1052
    PubMedGoogle Scholar
  • 13 Orons P D, Amesur N B, Dauber J H et al.. Balloon dilation and endobronchial stent placement for bronchial strictures after lung transplantation.  J Vasc Interv Radiol. 2000;  11 89-99
    CrossrefPubMedGoogle Scholar
  • 14 Weisbrod G L. Transthoracic percutaneous lung biopsy.  Radiol Clin North Am. 1990;  28 647-655
    PubMedGoogle Scholar
  • 15 Westcott J L. Direct percutaneous needle aspiration of localized pulmonary lesions: result in 422 patients.  Radiology. 1980;  137 31-35
    PubMedGoogle Scholar
  • 16 Kazerooni E A, Lim F T, Mikhail A, Martinez F J. Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung.  Radiology. 1996;  198 371-375
    CrossrefPubMedGoogle Scholar
  • 17 Khouri N F, Stitik F P, Erozan Y S et al.. Transthoracic needle aspiration biopsy of benign and malignant lung lesions.  AJR Am J Roentgenol. 1985;  144 281-288
    CrossrefPubMedGoogle Scholar
  • 18 van Sonnenberg E, Casola G, Ho M, Neff C C, Varney R R, Wittich G R. Difficult thoracic lesions: CT-guided biopsy of benign and malignant lung lesions.  Radiology. 1988;  167 457-461
    PubMedGoogle Scholar
  • 19 Westcott J L. Percutaneous transthoracic needle biopsy.  Radiology. 1988;  169 593-601
    PubMedGoogle Scholar
  • 20 Sigurdsson L, Reyes J, Kocoshis S A. Intestinal transplantation in children.  Curr Gastroenterol Rep. 1999;  1 259-265
    PubMedGoogle Scholar
  • 21 DiLorenzo C, Hillemeier C, Hyman P et al.. Manometry studies in children: minimum standards for procedures.  Neurogastroenterol Mot. 2002;  14 411-420
    CrossrefPubMedGoogle Scholar
  • 22 Green M, Webber S. Posttransplant lymphoproliferative disorders.  Pediatr Clin North Am. 2003;  50 1471-1491
    CrossrefPubMedGoogle Scholar

Alexander J TowbinM.D. 

University of Pittsburgh Medical Center, Department of Radiology

200 Lothrop Street

Pittsburgh, PA 15213