ORIGINAL ARTICLE

Percutaneous interventional management of biliary complications after pediatric liver transplantation: A 16-year single-institution experience

Hasmukh J. Prajapati

Division of Interventional Radiology, Department of Radiology, The University of Tennessee Health Science Center, Memphis, TN, USA

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Pavan Kavali,

Pavan Kavali

Division of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA

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Hyun S. Kim,

Corresponding Author

Hyun S. Kim

Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, USA

Yale Cancer Center, New Haven, CT, USA

Correspondence

Hyun S. Kim, Interventional Radiology, Yale School of Medicine, Yale Cancer Center, TE, USA.

Emails: [email protected], [email protected]

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Hasmukh J. Prajapati,

Hasmukh J. Prajapati

Division of Interventional Radiology, Department of Radiology, The University of Tennessee Health Science Center, Memphis, TN, USA

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Pavan Kavali,

Pavan Kavali

Division of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA

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Hyun S. Kim,

Corresponding Author

Hyun S. Kim

Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, USA

Yale Cancer Center, New Haven, CT, USA

Correspondence

Hyun S. Kim, Interventional Radiology, Yale School of Medicine, Yale Cancer Center, TE, USA.

Emails: [email protected], [email protected]

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First published: 30 October 2016

https://doi.org/10.1111/petr.12837

Citations: 8

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Abstract

The aim of the study was to investigate the BiCx after the pediatric OLT and to assess the efficacy of the fluoroscopic-guided PBI in the patients with BiCx as compared to the SR. A total of 340 OLTs were performed in 302 patients over the last 16 years. The inclusion criteria were the presence of BS or BL as a complication after OLT. The management of the BiCx was studied. Graft revision, graft loss, and survival were evaluated following PBI and SR. BiCx occurred in 17.1% (58/339) of the transplants; 6.2% (21/339) of transplants demonstrated BL and 12.7% (43/339) of the transplants had BS. Overall graft survival rates at 1 and 3 years in OLT with BL treated with PBI were 75.0% and 68.8% as compared with 75% and 66.7% in OLT treated with SR (P>.05). Overall graft survival rates at 1 and 3 years in OLT with BS treated with PBI were 70.6% and 54.5% as compared with 71.4% and 50% in OLT with SR or ERCP, respectively (P>.05). Based on the results, we conclude that PBI is as effective as SR in patients with the BL and BS after OLT.

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Volume21, Issue1

February 2017

e12837

Percutaneous interventional management of biliary complications after pediatric liver transplantation: A 16-year single-institution experience

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Percutaneous interventional management of biliary complications after pediatric liver transplantation: A 16-year single-institution experience

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