Contrast-enhanced sonography for screening of vascular complication in recipients following living donor liver transplantation
So Jung Lee MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorCorresponding Author
Kyoung Won Kim MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Correspondence to: K. W. KimSearch for more papers by this authorSo Yeon Kim MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorYang Shin Park MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Department of Radiology, Korea University Guro Hospital, 97 Gurodonggil, Guroku, Seoul, 152-703 Korea
Search for more papers by this authorJeongjin Lee PhD
Department of Digital Media, The Catholic University of Korea, 43-1, Yeokgok 2-dong, Wonmi-gu, Bucheon-si, Gyeonggi-do, 420-743 Korea
Search for more papers by this authorHyoung Jung Kim MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorJong Seok Lee MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorGi Won Song MD
Department of Liver Transplantation Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorShin Hwang MD
Department of Liver Transplantation Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorSung-Gyu Lee MD
Department of Liver Transplantation Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorSo Jung Lee MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorCorresponding Author
Kyoung Won Kim MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Correspondence to: K. W. KimSearch for more papers by this authorSo Yeon Kim MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorYang Shin Park MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Department of Radiology, Korea University Guro Hospital, 97 Gurodonggil, Guroku, Seoul, 152-703 Korea
Search for more papers by this authorJeongjin Lee PhD
Department of Digital Media, The Catholic University of Korea, 43-1, Yeokgok 2-dong, Wonmi-gu, Bucheon-si, Gyeonggi-do, 420-743 Korea
Search for more papers by this authorHyoung Jung Kim MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorJong Seok Lee MD
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorGi Won Song MD
Department of Liver Transplantation Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorShin Hwang MD
Department of Liver Transplantation Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorSung-Gyu Lee MD
Department of Liver Transplantation Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil Songpa-gu, Seoul, 138-736 Korea
Search for more papers by this authorABSTRACT
The purpose of this article is to discuss the role of CEUS for screening of vascular complication in recipients admitted to ICU following LDLT, effect of microbubble contrast agent on Doppler phenomenon, CEUS technique, and illustrate CEUS findings in recipients with complication following LDLT. CEUS can enhance the role of US in the diagnosis of postoperative vascular complication in recipients following living donor liver transplantation at the bedside. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 41:305–312, 2013
REFERENCES
- 1 Hom BK, Shrestha R, Palmer SL, et al. Prospective evaluation of vascular complications after liver transplantation: comparison of conventional and microbubble contrast-enhanced US. Radiology 2006; 241: 267.
- 2 Luo Y, Fan YT, Lu Q, et al. CEUS: a new imaging approach for postoperative vascular complications after right-lobe LDLT. World J Gastroenterol 2009; 15: 3670.
- 3 Sidhu PS, Shaw AS, Ellis SM, et al. Microbubble ultrasound contrast in the assessment of hepatic artery patency following liver transplantation: role in reducing frequency of hepatic artery arteriography. Eur Radiol 2004; 14: 21.
- 4 Correas JM, Bridal L, Lesavre A, et al. Ultrasound contrast agents: properties, principles of action, tolerance, and artifacts. Eur Radiol 2001; 11: 1316.
- 5 Waydhas C. Intrahospital transport of critically ill patients. Crit Care 1999; 3: R83.
- 6 Greis C. Technology overview: SonoVue (Bracco, Milan). Eur Radiol 2004; 14(Suppl 8): 11.
- 7 Schneider M. SonoVue, a new ultrasound contrast agent. Eur Radiol 1999; 9(Suppl 3): S347.
- 8
Cosgrove D,
Eckersley R. Contrast-enhanced ultrasound: basic physics and technology overview. In: R Lencioni, editor. Enhancing the Role of Ultrasound with Contrast Agents. New York: Springer; 2006, p 3.
10.1007/88-470-0476-4_1 Google Scholar
- 9 Park YS, Kim KW, Kim SY, et al. Obstruction at middle hepatic venous tributaries in modified right lobe grafts after living-donor liver transplantation: diagnosis with contrast-enhanced US. Radiology 2012; 265: 617.
- 10 Kim SY, Kim KW, Kim MJ, et al. Multidetector row CT of various hepatic artery complications after living donor liver transplantation. Abdom Imaging 2007; 32: 635.
- 11 Crossin JD, Muradali D, Wilson SR. US of liver transplants: normal and abnormal. Radiographics 2003; 23: 1093.
- 12 Huang TL, Cheng YF, Chen TY, et al. Doppler ultrasound evaluation of postoperative portal vein stenosis in adult living donor liver transplantation. Transplant Proc 2010; 42: 879.
- 13 Hwang HJ, Kim KW, Jeong WK, et al. Right hepatic vein stenosis at anastomosis in patients after living donor liver transplantation: optimal Doppler US venous pulsatility index and CT criteria—receiver operating characteristic analysis. Radiology 2009; 253: 543.
- 14 Kim KW, Kim PN, Shin JH, et al. Acute outflow obstruction of hepatic veins in rabbits: quantitative analysis of hepatic perfusion with contrast-enhanced sonography. J Ultrasound Med 2011; 30: 635.
- 15 Kim SY, Kim KW, Lee SS, et al. Doppler sonography to diagnose venous congestion in a modified right lobe graft after living donor liver transplantation. AJR Am J Roentgenol 2008; 190: 1010.
- 16 Hong SS, Kim AY, Kim HJ, et al. Inferior phrenic arterial bleeding after adult liver transplantation: incidence, clinical manifestations, and predictive CT features. AJR Am J Roentgenol 2006; 187: W15.