Towbin Alexander J, Towbin Richard B
Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Semin Intervent Radiol. 2004 Dec;21(4):321-33. doi: 10.1055/s-2004-861566.
Organ transplantation continues to grow in demand in the pediatric population. The liver is the second most common organ that is transplanted in the pediatric population, but it results in the greatest number of interventional procedures. Transplant continues to be the preferred treatment for end-stage liver failure in children and has been shown to prolong life. There are several significant differences in liver transplantation between adults and children. They include different indications and diseases leading to transplant, the smaller body size of children, and differences in the surgical techniques used to implant the liver. These differences have led to a set of complications that is unique to or is more frequently seen in the transplanted child. The complications require interventional solutions tailored to the special needs of children. This paper will examine the complications that are encountered and the technical challenges that the interventionalist must address to successfully treat this subgroup of children. The purpose of this paper is to present the techniques and "pearls" that we have found to be helpful in treating this group of patients that in many ways is the most challenging in all of pediatric intervention.
器官移植在儿科人群中的需求持续增长。肝脏是儿科人群中第二常见的移植器官，但它导致的介入手术数量最多。移植仍然是儿童终末期肝衰竭的首选治疗方法，并且已被证明可以延长生命。成人和儿童的肝移植存在几个显著差异。这些差异包括导致移植的不同适应症和疾病、儿童较小的体型以及用于植入肝脏的手术技术差异。这些差异导致了一组移植儿童特有的或更常见的并发症。这些并发症需要针对儿童特殊需求的介入解决方案。本文将探讨所遇到的并发症以及介入专家为成功治疗这一儿童亚组必须应对的技术挑战。本文的目的是介绍我们发现有助于治疗这组患者的技术和“技巧”，这组患者在许多方面是所有儿科介入治疗中最具挑战性的。
