Cantrell John
Wits Donald Gordon Medical Centre, University of the Witwatersrand, Johannesburg, South Africa.
S Afr Med J. 2014 Oct 24;104(11):825-829. doi: 10.7196/samj.8619.
Liver transplantation has become an established treatment in both adults and children for end-stage liver disease, acute hepatic failure and certain liver tumours. There is a significant rate of complications after all forms of liver transplantation. The interventional radiologist plays a critical role in the diagnosis and treatment of these complications. The use of image-guided, minimally invasive procedures reduces the need for surgical revision or retransplantation, and improves graft and patient survival rate. This article reviews some of the most common vascular and non-vascular complications after paediatric liver transplantation, and the interventional radiology techniques used to diagnose and treat them.
肝移植已成为治疗成人和儿童终末期肝病、急性肝衰竭及某些肝脏肿瘤的既定疗法。所有形式的肝移植术后并发症发生率都很高。介入放射科医生在这些并发症的诊断和治疗中发挥着关键作用。使用影像引导的微创操作减少了手术翻修或再次移植的需求，并提高了移植物和患者的存活率。本文综述了小儿肝移植术后一些最常见的血管和非血管并发症，以及用于诊断和治疗这些并发症的介入放射学技术。
