Surgical and Interventional Radiology Management of Vascular and Biliary Complications in Liver Transplantation: Narrative Review

Author:

Barragan Camilo1ORCID,Vera Alonso2,Hoyos Sergio3,Bejarano Diana4,Lopez-Ruiz Ana Maria5,Grippi Francisco6,Mejia Alejandro7,Bayona Molano María del Pilar8

Affiliation:

1. Interventional Radiologist, Department of Radiology UMIT- University of Toronto, Toronto, Canada

2. Director of Organ Transplantation, Fundacion Santa Fe de Bogota University Hospital, Bogota, Columbia

3. Director of Hepatobiliary Surgery, Pablo Tobon Hospital, Medellin, Columbia

4. Nursing Director Organ Transplant Department, Fundacion Santa Fe de Bogota University Hospital, Bogota, Colombia

5. School of Medicine University of Cambridge, Cambridge, United Kingdom

6. Interventional Radiologist Department of Radiology, Mayo Clinic, Rochester, Minnesota

7. Director of Organ Transplantation Methodist Dallas Medical Center. Dallas, Texas

8. Department of Radiology, USC University of Southern California, Los Angeles, California

Abstract

AbstractLiver transplant patients require a multidisciplinary and personalized approach to optimize outcomes. Posttransplant complications can be devastating for the patient and can jeopardize graft survival. Therefore, a careful evaluation and stepwise decision-making process is necessary to determine the best strategy, whether it is surgical, interventional, or a combination of both. While access to liver transplant interventions in Latin America can be more limited compared with other parts of the world, many countries in the region have made significant progress in developing their liver transplant programs and improving the management of posttransplant complications. For example, in Brazil, specialized transplant centers and multidisciplinary teams have been established to reduce morbidity and improve graft survival rates. The article also explores the latest advancements in interventional radiology techniques, such as angioplasty, stent placement, and embolization, and how they can be used to successfully treat these complications. Overall, this article highlights the importance of a comprehensive approach to managing complications in liver transplant patients and emphasizes how individualized treatment plans can lead to improved outcomes, even in settings with limited resources.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Radiology, Nuclear Medicine and imaging,Surgery

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