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Angiofibel pp 371–404Cite as

Diagnostik und Interventionen an Lebergefäßen und Pfortader nach Lebertransplantation

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Zusammenfassung

Dieses Kapitel behandelt die Indikationsstellungen, Techniken und Ergebnisse der diagnostischen und therapeutischen Eingriffe nach Lebertransplantation (LTPL). Dieses breite Feld an Interventionen sollte Einrichtungen vorbehalten sein, die über ein eingespieltes, ständig bereitstehendes Team aus Transplantationschirurgen, interventionellen Radiologen, Hepatologen und Anästhesisten verfügen. Ballondilatation oder Applikation eines Stents oder Stentgrafts in eine Stenose oder Verschluss der Leberarterie, Lebervene oder Pfortader nach LTPL sind technisch mittlerweile in einem hohen Prozentsatz erfolgreich, können jedoch durch die Gefahr der Induktion einer Neointimahyperproliferation, Restenosebildung oder Thrombose, selbst bei technisch einwandfreien Ergebnis, langfristig Probleme bereiten (bis hin zur Notwendigkeit der Retransplantation). Schon allein deshalb sollte die Indikation zu den hier vorgestellten Eingriffen strikt interdisziplinär gestellt werden.

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Literatur

  1. Barcena R, Moreno A, Foruny JR et al (2006) Improved graft function in liver-transplanted patients after partial splenic embolization: reversal of splenic artery steal syndrome? Clinical transplantation 20:517–523

    Article  PubMed  Google Scholar 

  2. Couinaud C (1999) Liver anatomy: portal (and suprahepatic) or biliary segmentation. Digestive surgery 16:459–467

    Article  PubMed  CAS  Google Scholar 

  3. Tillmann B (2009) Atlas der Anatomie, 2. Aufl. Springer, Berlin Heidelberg New York

    Google Scholar 

  4. Zhu X, Tam MD, Pierce G et al (2011) Utility of the Amplatzer Vascular Plug in splenic artery embolization: a comparison study with conventional coil technique. Cardiovascular and interventional radiology 34:522–531

    Article  PubMed  Google Scholar 

  5. Mogl MT, Nussler NC, Presser SJ et al (2010) Evolving experience with prevention and treatment of splenic artery syndrome after orthotopic liver transplantation. Transplant international : official journal of the European Society for Organ Transplantation 23:831–841

    Article  Google Scholar 

  6. Bilbao JI, Herrero JI, Martinez-Cuesta A et al (2000) Ascites due to anastomotic stenosis after liver transplantation using the piggyback technique: treatment with endovascular prosthesis. Cardiovascular and interventional radiology 23:149–151

    Article  PubMed  CAS  Google Scholar 

  7. Ko GY, Sung KB, Yoon HK et al (2002) Endovascular treatment of hepatic venous outflow obstruction after living-donor liver transplantation. Journal of vascular and interventional radiology: JVIR 13:591–599

    Article  PubMed  Google Scholar 

  8. Uflacker R, Francisconi CF, Rodriguez MP, Amaral NM (1984) Percutaneous transluminal angioplasty of the hepatic veins for treatment of Budd-Chiari syndrome. Radiology 153:641–642

    PubMed  CAS  Google Scholar 

  9. Wang SL, Sze DY, Busque S et al (2005) Treatment of hepatic venous outflow obstruction after piggyback liver transplantation. Radiology 236:352–359

    Article  PubMed  Google Scholar 

  10. Ko GY, Sung KB, Yoon HK, Lee S (2007) Early posttransplantation portal vein stenosis following living donor liver transplantation: percutaneous transhepatic primary stent placement. Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 13:530–536

    Article  Google Scholar 

  11. Cheng YF, Ou HY, Tsang LL et al (2010) Vascular stents in the management of portal venous complications in living donor liver transplantation. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 10:1276–1283

    Article  Google Scholar 

  12. Wei BJ, Zhai RY, Wang JF, Dai DK, Yu P (2009) Percutaneous portal venoplasty and stenting for anastomotic stenosis after liver transplantation. World journal of gastroenterology: WJG 15:1880–1885

    Article  PubMed  Google Scholar 

  13. Funaki B, Rosenblum JD, Leef JA, Zaleski GX, Farrell T, Lorenz J et al (2000) Percutaneous treatment of portal venous stenosis in children and adolescents with segmental hepatic transplants: long-term results. Radiology 215(1):147–151 (Epub 2001/02/07)

    PubMed  CAS  Google Scholar 

  14. Abbasoglu O, Levy MF, Vodapally MS, Gonwa TA, Husberg BS, Goldstein RM et al (1997) Hepatic artery stenosis after liver transplantation: Incidence, presentation, treatment and long-term outcome. Transplantation 63:250–255

    Article  PubMed  CAS  Google Scholar 

  15. Karani JB, Yu DF, Kane PA (2005) Interventional radiology in liver transplantation. Cardiovascular and interventional radiology 28:271–283

    Article  PubMed  Google Scholar 

  16. Saad WE, Davies MG, Saad NE et al (2007) Catheter thrombolysis of thrombosed hepatic arteries in liver transplant recipients: predictors of success and role of thrombolysis. Vascular and endovascular surgery 41:19–26

    Article  PubMed  Google Scholar 

  17. Singhal A, Mukherjee I, Stokes K, Wright HI, Sebastian A, Kohli V (2010) Continuous intraarterial thrombolysis for early hepatic artery thrombosis following liver transplantation: case report. Vascular and endovascular surgery 44:134–138

    Article  PubMed  Google Scholar 

  18. Singhal A, Stokes K, Sebastian A, Wright HI, Kohli V (2010) Endovascular treatment of hepatic artery thrombosis following liver transplantation. Transplant international: official journal of the European Society for Organ Transplantation 23:245–256

    Article  CAS  Google Scholar 

  19. Stampfl U, Sommer CM, Bellemann N et al (2012) The use of balloon-expandable stent grafts for the management of acute arterial bleeding. Journal of vascular and interventional radiology: JVIR 23:331–337

    Article  PubMed  Google Scholar 

  20. Wozney P, Zajko AB, Bron KM, Point S, Starzl TE (1986) Vascular complications after liver transplantation: a 5-year experience. AJR American journal of roentgenology 147:657–663

    Article  PubMed  CAS  Google Scholar 

  21. Grodzicki M, Anysz-Grodzicka A, Remiszewski P et al (2011) Treatment of early hepatic artery thrombosis after liver transplantation. Transplantation proceedings 43:3039–3042

    Article  PubMed  CAS  Google Scholar 

  22. Maruzzelli L, Miraglia R, Caruso S et al (2010) Percutaneous endovascular treatment of hepatic artery stenosis in adult and pediatric patients after liver transplantation. Cardiovascular and interventional radiology 33:1111–1119

    Article  PubMed  Google Scholar 

  23. Nüssler NC, Settmacher U, Haase R, Stange B, Heise M, Neuhaus P (2003) Diagnosis and treatment of arterial steal syndromes in liver transplant recipients. Liver Transpl Jun 9(6):596–602

    Article  Google Scholar 

  24. Heran MK, Marshalleck F, Temple M, Grassi CJ, Connolly B, Towbin RB et al (2010) Joint quality improvement guidelines for pediatric arterial access and arteriography: from the Societies of Interventional Radiology and Pediatric Radiology. Journal of vascular and interventional radiology: JVIR 21(1):32–43 (Epub 2009/11/21)

    Article  PubMed  Google Scholar 

  25. Dahm F, Georgiev P, Clavien PA (2005) Small-for-size syndrome after partial liver transplantation: definition, mechanisms of disease and clinical implications. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 5:2605–2610

    Article  Google Scholar 

  26. Demetris AJ, Kelly DM, Eghtesad B et al (2006) Pathophysiologic observations and histopathologic recognition of the portal hyperperfusion or small-for-size syndrome. The American journal of surgical pathology 30:986–993

    Article  PubMed  Google Scholar 

  27. Gruttadauria S, Pagano D, Luca A, Gridelli B (2010) Small-for-size syndrome in adult-to-adult living-related liver transplantation. World journal of gastroenterology: WJG 16:5011–5015

    Article  PubMed  Google Scholar 

  28. Hickman R, Stapleton GN, Mets B, Hlatshwayo S, Janicki P (1995) Hepatic blood flow during reduced liver grafting in pigs. A comparison of controls and recipients of intact allografts. Digestive diseases and sciences 40:1246–1251

    Article  PubMed  CAS  Google Scholar 

  29. Kelly DM, Zhu X, Shiba H et al (2009) Adenosine restores the hepatic artery buffer response and improves survival in a porcine model of small-for-size syndrome. Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 15:1448–1457

    Article  Google Scholar 

  30. Kotecha R, Toledo-Pereyra LH (2012) The effect of catecholamines on hepatic artery vasospasm in small-for-size syndrome liver grafts. The Journal of surgical research 172:77–79

    Article  PubMed  CAS  Google Scholar 

  31. Zhu X, Fung JJ, Nakagawa S et al (2012) Elevated catecholamines and hepatic artery vasospasm in porcine small-for-size liver graft. The Journal of surgical research 174:157–165

    Article  PubMed  CAS  Google Scholar 

  32. Wang SL, Sze DY, Busque S, Razavi MK, Kee ST, Frisoli JK et al (2005) Treatment of hepatic venous outflow obstruction after piggyback liver transplantation. Radiology 236(1):352–359 (Epub 2005/06/16)

    Article  PubMed  Google Scholar 

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Correspondence to Boris A. Radeleff Prof. Dr. .

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Radeleff, B.A., Kortes, N. (2013). Diagnostik und Interventionen an Lebergefäßen und Pfortader nach Lebertransplantation. In: Radeleff, B. (eds) Angiofibel. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-33230-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-33230-2_18

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  • Publisher Name: Springer, Berlin, Heidelberg

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