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ECR 2018 / C-2766
Surgical complications after pediatric liver transplantation
Congress: ECR 2018
Poster No.: C-2766
Type: Scientific Exhibit
Keywords: Liver, Paediatric, CT, Ultrasound, Complications, Diagnostic procedure, Transplantation
Authors: G. Burcet Rodríguez1, M. Fernández Gómez2, A. Coma1, L. Riaza Martin1, L. Riera1, A. Castellote1, A. Molino1, J. Juamperez1, E. Vazquez1; 1Barcelona/ES, 2Almería/ES

Methods and materials

Patient population: All pediatric patients who received a liver transplantation in our centre between 1/1/2012 and 28/11/2016, were included. 

Complications: Surgical complications were reviewed during the first 6 months after the transplantation. We took into account arterial complications (stenosis and thrombosis) (Fig. 1-2), venous complications (stenosis and thrombosis) (Fig. 3) and biliary complications (stenosis and bilomas) (Fig. 4).

Imaging techniques: The follow-up of the pediatric liver transplant in our centre includes Doppler ultrasound in the immediate postoperative moment of the intervention, every 24 hours for three days, once or twice a week during the hospital stay and then every 6 months or every year. Different operators performed the explorations. The UCI ultrasound controls were performed with a Siemens Acuson Sequoia 512 (Germany) apparatus and the ambulatory controls were performed with a Philips iU22 device (The Netherlands). Different probes were used based on the characteristics of the patients and the needs of the operator. 

In some cases the Doppler ultrasound was not sufficient for the diagnosis of the complications and the realization of AngioTC (Siemens Somatom Definition AS+) and MRI (Siemens Magnetom Avanto) were necessary.

Statistical analysis: The rates of complications depending on transplant type, patient’s age and basal disease of the patients were assessed.

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