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Erschienen in: Abdominal Radiology 1/2021

12.10.2020 | Special Section: Liver Transplantation

Sonography of liver transplantation

verfasst von: Ekta Maheshwari, Mitchell E. Tublin

Erschienen in: Abdominal Radiology | Ausgabe 1/2021

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Abstract

Orthotopic liver transplant (OLT) is established as the definitive treatment of choice for end stage liver disease. Over the years, refined surgical techniques as well as advancements in organ preservation and immunosuppressive regimens have improved graft and patient survival rates. Imaging has also contributed to improved graft and patient survival. Ultrasound is the initial investigation of choice for evaluation of post-transplant anatomy and for identifying early complications. A thorough knowledge of surgical techniques and normal post-operative appearance of the OLT is needed to accurately identify and characterize graft complications. The objective of this article is to review the sonographic findings of normal liver transplant as well as post-operative complications. Indications and contraindications for OLT as well as different surgical techniques will also be briefly reviewed.
Literatur
1.
Zurück zum Zitat Starzl TE, Marchiori TL, Von Kaulla KN, et al. (1963) Homotransplantation of the liver in humans. Surg Gynaecol Obstet 117:659–676 Starzl TE, Marchiori TL, Von Kaulla KN, et al. (1963) Homotransplantation of the liver in humans. Surg Gynaecol Obstet 117:659–676
2.
Zurück zum Zitat United Network for Organ Sharing and Scientific Registry data. Data from the Organ Procurement and Transplantation Network and the U.S. Scientific Registry of Transplant Recipients. Available at: http://www.unos.org. Accessed September 2019 United Network for Organ Sharing and Scientific Registry data. Data from the Organ Procurement and Transplantation Network and the U.S. Scientific Registry of Transplant Recipients. Available at: http://​www.​unos.​org. Accessed September 2019
3.
Zurück zum Zitat Hom BK, Shrestha R, Palmer SL, et al. (2006) Prospective evaluation of vascular complications after liver transplantation: comparison of conventional and microbubble contrast- enhanced US. Radiology 241:267–274PubMedCrossRef Hom BK, Shrestha R, Palmer SL, et al. (2006) Prospective evaluation of vascular complications after liver transplantation: comparison of conventional and microbubble contrast- enhanced US. Radiology 241:267–274PubMedCrossRef
4.
Zurück zum Zitat Sidhu PS, Shaw AS, Ellis SM, Karani JB, Ryan SM (2004) Microbubble ultrasound contrast in the assessment of hepatic artery patency following liver transplantation: role in reducing frequency of hepatic artery arteriography. Eur Radiol 14:21–30PubMedCrossRef Sidhu PS, Shaw AS, Ellis SM, Karani JB, Ryan SM (2004) Microbubble ultrasound contrast in the assessment of hepatic artery patency following liver transplantation: role in reducing frequency of hepatic artery arteriography. Eur Radiol 14:21–30PubMedCrossRef
5.
Zurück zum Zitat Keeffe EB (2001) Selection of patients for liver transplantation. In: Maddrey WC, Schiff ER, Sorrell MF (eds) Transplantation of the liver, 3rd edn. Philadelphia, Pa: Lippincott Williams & Wilkins, pp 5–34 Keeffe EB (2001) Selection of patients for liver transplantation. In: Maddrey WC, Schiff ER, Sorrell MF (eds) Transplantation of the liver, 3rd edn. Philadelphia, Pa: Lippincott Williams & Wilkins, pp 5–34
6.
Zurück zum Zitat Forman LM, Lewis JD, Berlin JA, et al. (2002) The association between Hepatitis C infection and survival after orthotopic liver transplantation. Gastroenterology 122(4):889–896PubMedCrossRef Forman LM, Lewis JD, Berlin JA, et al. (2002) The association between Hepatitis C infection and survival after orthotopic liver transplantation. Gastroenterology 122(4):889–896PubMedCrossRef
7.
Zurück zum Zitat Crossin JD, Muradali D, Wilson SR (2003) US of liver transplants: normal and abnormal. Radiographics. 23(5):1093–1114PubMedCrossRef Crossin JD, Muradali D, Wilson SR (2003) US of liver transplants: normal and abnormal. Radiographics. 23(5):1093–1114PubMedCrossRef
8.
Zurück zum Zitat Mazzaferro V, Regalia E, Doci R, et al. (1996) Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med 334:693–699PubMedCrossRef Mazzaferro V, Regalia E, Doci R, et al. (1996) Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med 334:693–699PubMedCrossRef
9.
Zurück zum Zitat Bhargava P, Vaidya S, Dick AAS, Dighe M. Imaging of Orthotopic Liver transplantation: Review. AJR 2011;196:WS15–WS25 Bhargava P, Vaidya S, Dick AAS, Dighe M. Imaging of Orthotopic Liver transplantation: Review. AJR 2011;196:WS15–WS25
10.
Zurück zum Zitat Manzanet G, Sanjuan F, Orbis OP, et al. (2001) Liver transplantation in patients with portal vein thrombosis. Liver Transpl 7:125–131PubMedCrossRef Manzanet G, Sanjuan F, Orbis OP, et al. (2001) Liver transplantation in patients with portal vein thrombosis. Liver Transpl 7:125–131PubMedCrossRef
11.
Zurück zum Zitat Lindner P, Norrby J, Lausson M, et al. (2003) Survival after liver transplantation for cholangiocarcinoma has increased during the last decade. Transplant Proc 35:811–812PubMedCrossRef Lindner P, Norrby J, Lausson M, et al. (2003) Survival after liver transplantation for cholangiocarcinoma has increased during the last decade. Transplant Proc 35:811–812PubMedCrossRef
12.
Zurück zum Zitat Gonzalo Sapisochín, Elena Fernández de Sevilla, Juan Echeverri, Ramón Charco. Liver transplantation for cholangiocarcinoma: Current status and new insights. World J Hepatol 2015 October 8; 7(22): 2396-2403 Gonzalo Sapisochín, Elena Fernández de Sevilla, Juan Echeverri, Ramón Charco. Liver transplantation for cholangiocarcinoma: Current status and new insights. World J Hepatol 2015 October 8; 7(22): 2396-2403
13.
Zurück zum Zitat Jovine E, Mazziotti A, Grazi GL, et al. (1997) Piggy-back versus conventional technique in liver transplantation: report of a randomized trial. Transpl Int 10(2):109–12PubMedCrossRef Jovine E, Mazziotti A, Grazi GL, et al. (1997) Piggy-back versus conventional technique in liver transplantation: report of a randomized trial. Transpl Int 10(2):109–12PubMedCrossRef
14.
Zurück zum Zitat Sanyal R, Lall CG, Lamba R, et al. (2012) Orthotopic liver transplantation: reversible Doppler US findings in the immediate postoperative period. Radiographics 32(1):199–211PubMedCrossRef Sanyal R, Lall CG, Lamba R, et al. (2012) Orthotopic liver transplantation: reversible Doppler US findings in the immediate postoperative period. Radiographics 32(1):199–211PubMedCrossRef
16.
Zurück zum Zitat Ishigami K, Zhang Y, Rayhill S, et al. (2004) Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation? AJR Am J Roentgenol 183(6):1577–84PubMedCrossRef Ishigami K, Zhang Y, Rayhill S, et al. (2004) Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation? AJR Am J Roentgenol 183(6):1577–84PubMedCrossRef
17.
Zurück zum Zitat Caiado AH, Blasbalg R, Marcelino AS, et al. (2007) Complications of liver transplantation: multimodality imaging approach. Radiographics 27(5):1401–17PubMedCrossRef Caiado AH, Blasbalg R, Marcelino AS, et al. (2007) Complications of liver transplantation: multimodality imaging approach. Radiographics 27(5):1401–17PubMedCrossRef
18.
Zurück zum Zitat Baheti A, Sanyal R, Heller MT, Bhargava P (2016) Surgical techniques and Imaging complications of liver transplant. Radiol Clin N Am 54:199–215PubMedCrossRef Baheti A, Sanyal R, Heller MT, Bhargava P (2016) Surgical techniques and Imaging complications of liver transplant. Radiol Clin N Am 54:199–215PubMedCrossRef
19.
Zurück zum Zitat Bolognesi M, Sacerdoti D, Bobonato G, et al. Change in portal flow after liver transplantation: effect on hepatic arterial resistance indices and role of spleen size. Hepatology 2002 Mar; 35(3): 601-8 Bolognesi M, Sacerdoti D, Bobonato G, et al. Change in portal flow after liver transplantation: effect on hepatic arterial resistance indices and role of spleen size. Hepatology 2002 Mar; 35(3): 601-8
20.
Zurück zum Zitat Vit A, De Candia A, Como G, et al. (2003) Doppler evaluation of arterial complications of adult orthotopic liver transplantation. J Clin Ultrasound 31:339–345PubMedCrossRef Vit A, De Candia A, Como G, et al. (2003) Doppler evaluation of arterial complications of adult orthotopic liver transplantation. J Clin Ultrasound 31:339–345PubMedCrossRef
21.
Zurück zum Zitat Chen W, Facciuto ME, Rocca JP, et al. (2006) Doppler ultrasonographic findings on hepatic arterial vasospasm early after liver transplantation. J Ultrasound med 25(5):631–638PubMedCrossRef Chen W, Facciuto ME, Rocca JP, et al. (2006) Doppler ultrasonographic findings on hepatic arterial vasospasm early after liver transplantation. J Ultrasound med 25(5):631–638PubMedCrossRef
22.
Zurück zum Zitat Garcia -Criado A, Gilabert R, Berzigotti A, et al. Doppler ultrasound findings in the hepatic artery shortly after liver transplantation. AJR Am J Roentegnol 2009; 193(1): 128-135 Garcia -Criado A, Gilabert R, Berzigotti A, et al. Doppler ultrasound findings in the hepatic artery shortly after liver transplantation. AJR Am J Roentegnol 2009; 193(1): 128-135
23.
Zurück zum Zitat Stell D, Downey D, Marotta P, et al. (2004) Prospective evaluation of the role of quantitative Doppler ultrasound surveillance in liver transplantation. Liver Transpl 10(9):1183–1188PubMedCrossRef Stell D, Downey D, Marotta P, et al. (2004) Prospective evaluation of the role of quantitative Doppler ultrasound surveillance in liver transplantation. Liver Transpl 10(9):1183–1188PubMedCrossRef
25.
Zurück zum Zitat Singh AK, Nachiappan AC, Verma HA, et al. (2010) Postoperative imaging in liver transplantation: what radiologists should know. Radiographics 30(2):339–51PubMedCrossRef Singh AK, Nachiappan AC, Verma HA, et al. (2010) Postoperative imaging in liver transplantation: what radiologists should know. Radiographics 30(2):339–51PubMedCrossRef
26.
Zurück zum Zitat Nolten A, Sproat IA (1996) Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis. Radiology 198(2):553–9PubMedCrossRef Nolten A, Sproat IA (1996) Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis. Radiology 198(2):553–9PubMedCrossRef
27.
Zurück zum Zitat García-Criado A, Gilabert R, Bianchi L, et al. (2015) Impact of contrast-enhanced ultrasound in the study of hepatic artery hypoperfusion shortly after liver transplantation: contribution to the diagnosis of artery steal syndrome. Eur Radiol 25:196–202PubMedCrossRef García-Criado A, Gilabert R, Bianchi L, et al. (2015) Impact of contrast-enhanced ultrasound in the study of hepatic artery hypoperfusion shortly after liver transplantation: contribution to the diagnosis of artery steal syndrome. Eur Radiol 25:196–202PubMedCrossRef
28.
Zurück zum Zitat Rostambeigi N, Hunter D, Duval S, et al. Stent placement versus angioplasty for hepatic artery stenosis after liver transplant: a meta-analysis of case series. Eur Radiol 2013;23(5):1323–34 d Rostambeigi N, Hunter D, Duval S, et al. Stent placement versus angioplasty for hepatic artery stenosis after liver transplant: a meta-analysis of case series. Eur Radiol 2013;23(5):1323–34 d
29.
Zurück zum Zitat Da Silva RF, Raphe R, Felicio HC, et al. (2008) Prevalence, treatment, and outcomes of the hepatic artery stenosis after liver transplantation. Transplant Proc 40(3):805–7PubMedCrossRef Da Silva RF, Raphe R, Felicio HC, et al. (2008) Prevalence, treatment, and outcomes of the hepatic artery stenosis after liver transplantation. Transplant Proc 40(3):805–7PubMedCrossRef
30.
Zurück zum Zitat Marshall MM, Muiesan P, Srinivasan P, et al. (2001) Hepatic artery pseudoaneurysms following liver transplantation: incidence, presenting features and management. Clin Radiol 56(7):579–87PubMedCrossRef Marshall MM, Muiesan P, Srinivasan P, et al. (2001) Hepatic artery pseudoaneurysms following liver transplantation: incidence, presenting features and management. Clin Radiol 56(7):579–87PubMedCrossRef
31.
Zurück zum Zitat Langnas AN, Marujo W, Stratta RJ, Wood RP, Shaw BW Jr (1991) Vascular complications after orthotopic liver transplantation. Am J Surg 161:76–83PubMedCrossRef Langnas AN, Marujo W, Stratta RJ, Wood RP, Shaw BW Jr (1991) Vascular complications after orthotopic liver transplantation. Am J Surg 161:76–83PubMedCrossRef
33.
Zurück zum Zitat Buell JF, Funaki B, Cronin DC, et al. (2002) Long-term venous complications after full-size and segmental pediatric liver transplantation. Ann Surg 236(5):658–66PubMedPubMedCentralCrossRef Buell JF, Funaki B, Cronin DC, et al. (2002) Long-term venous complications after full-size and segmental pediatric liver transplantation. Ann Surg 236(5):658–66PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Dodd GI (1993) Sonographic diagnosis of vascular complications of hepatic and renal transplantation. ARRS: In American Roentgen Ray Society Ultrasound Categorical Course Syllabus. San Francisco Dodd GI (1993) Sonographic diagnosis of vascular complications of hepatic and renal transplantation. ARRS: In American Roentgen Ray Society Ultrasound Categorical Course Syllabus. San Francisco
35.
Zurück zum Zitat Chong WK, Beland JC, Weeks SM (2007) Sonographic evaluation of venous obstruction in liver transplants. AJR Am J Roentgenol. 188(6):W515–W521PubMedCrossRef Chong WK, Beland JC, Weeks SM (2007) Sonographic evaluation of venous obstruction in liver transplants. AJR Am J Roentgenol. 188(6):W515–W521PubMedCrossRef
36.
Zurück zum Zitat Glockner JF, Forauer AR, Solomon H, Varma CR, Perman WH (2000) Three-dimensional gadoliniumenhanced MR angiography of vascular complications after liver transplantation. AJR Am J Roentgenol 174:1447–1453PubMedCrossRef Glockner JF, Forauer AR, Solomon H, Varma CR, Perman WH (2000) Three-dimensional gadoliniumenhanced MR angiography of vascular complications after liver transplantation. AJR Am J Roentgenol 174:1447–1453PubMedCrossRef
37.
Zurück zum Zitat Federle MP, Kapoor V (2003) Complications of liver transplantation: imaging and intervention. Radiol Clin North Am 41(6):1289–1305PubMedCrossRef Federle MP, Kapoor V (2003) Complications of liver transplantation: imaging and intervention. Radiol Clin North Am 41(6):1289–1305PubMedCrossRef
38.
Zurück zum Zitat Kubo T, Shibata T, Ito K, et al. (2006) Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor living transplantation. Radiology. 239(1):285–290PubMedCrossRef Kubo T, Shibata T, Ito K, et al. (2006) Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor living transplantation. Radiology. 239(1):285–290PubMedCrossRef
39.
Zurück zum Zitat Ko EY, Kim TK, Kim PN, et al. (2003) Hepatic vein stenosis after living donor liver transplantation: evaluation with Doppler US. Radiology. 229(3):806–810PubMedCrossRef Ko EY, Kim TK, Kim PN, et al. (2003) Hepatic vein stenosis after living donor liver transplantation: evaluation with Doppler US. Radiology. 229(3):806–810PubMedCrossRef
40.
Zurück zum Zitat Haberal M (2006) Liver transplantation: experience at our center. Transplant Proc 38:2111–2116PubMedCrossRef Haberal M (2006) Liver transplantation: experience at our center. Transplant Proc 38:2111–2116PubMedCrossRef
42.
Zurück zum Zitat Zajko A, Campbell W, Logsdon G (1987) Cholangiographic findings in hepatic artery occlusion after liver transplantation. AJR 149:485–489PubMedCrossRef Zajko A, Campbell W, Logsdon G (1987) Cholangiographic findings in hepatic artery occlusion after liver transplantation. AJR 149:485–489PubMedCrossRef
43.
Zurück zum Zitat McDonald V, Matabon T, Patel S (1991) Biliary strictures in hepatic transplantation. J Vasc Interv Radiol 2:533–538PubMedCrossRef McDonald V, Matabon T, Patel S (1991) Biliary strictures in hepatic transplantation. J Vasc Interv Radiol 2:533–538PubMedCrossRef
44.
Zurück zum Zitat Manzarbeitia CY, Ortiz JA, Jeon H, et al. (2004) Long-term outcome of controlled, non-heart-beating donor liver transplantation. Transplantation. 78(2):211–215PubMedCrossRef Manzarbeitia CY, Ortiz JA, Jeon H, et al. (2004) Long-term outcome of controlled, non-heart-beating donor liver transplantation. Transplantation. 78(2):211–215PubMedCrossRef
45.
Zurück zum Zitat Chen CL, Wang KL, Chuang JH, et al. (1988) Biliary sludge-cast formation following liver transplantation. Hepatogastroenterology. 35(1):22–24PubMed Chen CL, Wang KL, Chuang JH, et al. (1988) Biliary sludge-cast formation following liver transplantation. Hepatogastroenterology. 35(1):22–24PubMed
46.
Zurück zum Zitat Halme L, Hockerstedt K, Lautenschlager I (2003) Cytomegalovirus infection and development of biliary complications after liver transplantation. Transplantation. 75(11):1853–1858PubMedCrossRef Halme L, Hockerstedt K, Lautenschlager I (2003) Cytomegalovirus infection and development of biliary complications after liver transplantation. Transplantation. 75(11):1853–1858PubMedCrossRef
47.
Zurück zum Zitat Hu B, Horrow MM. Ultrasound of Biliary cast syndrome and its mimics. Ultrasound Quarterly • Volume 32, Number 3, September 2016 Hu B, Horrow MM. Ultrasound of Biliary cast syndrome and its mimics. Ultrasound Quarterly • Volume 32, Number 3, September 2016
48.
Zurück zum Zitat Sheng R, Ramirez CB, Zajko AB, Campbell WL (1996) Biliary stones and sludge in liver transplant patients: a 1-year experience. Radiology 198:243–247PubMedCrossRef Sheng R, Ramirez CB, Zajko AB, Campbell WL (1996) Biliary stones and sludge in liver transplant patients: a 1-year experience. Radiology 198:243–247PubMedCrossRef
49.
Zurück zum Zitat Gow PJ, Chapman RW (2000) Liver transplantation for primary sclerosing cholangitis. Liver 20:97–103PubMedCrossRef Gow PJ, Chapman RW (2000) Liver transplantation for primary sclerosing cholangitis. Liver 20:97–103PubMedCrossRef
50.
Zurück zum Zitat Sheng R, Zajko AB, Campbell WL, et al. (1993) Biliary strictures in hepatic transplants: prevalence and types in patients with primary sclerosing cholangitis vs those with other liver diseases. AJR Am J Roentgenol 161(2):297–300PubMedCrossRef Sheng R, Zajko AB, Campbell WL, et al. (1993) Biliary strictures in hepatic transplants: prevalence and types in patients with primary sclerosing cholangitis vs those with other liver diseases. AJR Am J Roentgenol 161(2):297–300PubMedCrossRef
51.
Zurück zum Zitat Burton JR Jr, Rosen HR (2006) Diagnosis and management of allograft failure. Clin Liver Dis 10(2):407–35PubMedCrossRef Burton JR Jr, Rosen HR (2006) Diagnosis and management of allograft failure. Clin Liver Dis 10(2):407–35PubMedCrossRef
52.
Zurück zum Zitat Berrocal T, Parron M, Alvarez-Luque A, et al. (2006) Pediatric liver transplantation: a pictorial essay of early and late complications. Radiographics 26(4):1187–1209PubMedCrossRef Berrocal T, Parron M, Alvarez-Luque A, et al. (2006) Pediatric liver transplantation: a pictorial essay of early and late complications. Radiographics 26(4):1187–1209PubMedCrossRef
53.
Zurück zum Zitat Aberg F, Pukkala E, Hockerstedt K, et al. Risk of malignant neoplasms after hepatic transplantation: a population-based study. Liver Transpl; 2008 14(10): 1428-1436 Aberg F, Pukkala E, Hockerstedt K, et al. Risk of malignant neoplasms after hepatic transplantation: a population-based study. Liver Transpl; 2008 14(10): 1428-1436
54.
Zurück zum Zitat Ferris JV, Baron RL, Marsh JW Jr, et al. (1996) Recurrent hepatocellular carcinoma after liver transplantation: spectrum of CT findings and recurrence patterns. Radiology 198:233–238PubMedCrossRef Ferris JV, Baron RL, Marsh JW Jr, et al. (1996) Recurrent hepatocellular carcinoma after liver transplantation: spectrum of CT findings and recurrence patterns. Radiology 198:233–238PubMedCrossRef
55.
Zurück zum Zitat Strouse PJ, Platt JF, Francis IR, Bree RL (1996) Tumorous intrahepatic lymphoproliferative disorder in transplanted livers. AJR Am J Roentgenol 167:1159–1162PubMedCrossRef Strouse PJ, Platt JF, Francis IR, Bree RL (1996) Tumorous intrahepatic lymphoproliferative disorder in transplanted livers. AJR Am J Roentgenol 167:1159–1162PubMedCrossRef
56.
Zurück zum Zitat Jain A, Nalesnik M, Reyes J, et al. Posttransplant lymphoproliferative disorders in liver transplantation: a 20-year experience. Ann Surg 2002;236(4):429–36 [discussion: 436–7]. Jain A, Nalesnik M, Reyes J, et al. Posttransplant lymphoproliferative disorders in liver transplantation: a 20-year experience. Ann Surg 2002;236(4):429–36 [discussion: 436–7].
57.
Zurück zum Zitat Borhani AA, Hosseinzadeh K, Almusa O, et al. Imaging of posttransplantation lymphoproliferative disorder after solid organ transplantation. Radiographics 2009;29(4):981–1000 [discussion: 1000–2]. Borhani AA, Hosseinzadeh K, Almusa O, et al. Imaging of posttransplantation lymphoproliferative disorder after solid organ transplantation. Radiographics 2009;29(4):981–1000 [discussion: 1000–2].
Metadaten
Titel
Sonography of liver transplantation
verfasst von
Ekta Maheshwari
Mitchell E. Tublin
Publikationsdatum
12.10.2020
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 1/2021
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-020-02799-7

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