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Multi-slice spiral CT of living-related liver transplantation in children: pictorial essay.

Choi SH, Goo HW, Yoon CH - Korean J Radiol (2004 Jul-Sep)

Bottom Line: Multiplanar and three-dimensional imaging using multi-slice spiral CT can be used for preoperative vascular imaging, as well as for evaluating postoperative complications.In this essay, we describe the usefulness of multi-slice CT, combined with a variety of different reconstruction techniques, for the preoperative evaluation of transplant recipients.In addition, we demonstrate the multi-slice CT findings of postoperative complications, including vascular stenosis or thrombosis, bile duct leak or stricture, and extrahepatic fluid collection.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea.

ABSTRACT
In pediatric living-related liver transplantation, preoperative evaluation of the recipient is important for surgical planning, while the accurate diagnosis of postoperative complications is essential for graft salvage. Multiplanar and three-dimensional imaging using multi-slice spiral CT can be used for preoperative vascular imaging, as well as for evaluating postoperative complications. In this essay, we describe the usefulness of multi-slice CT, combined with a variety of different reconstruction techniques, for the preoperative evaluation of transplant recipients. In addition, we demonstrate the multi-slice CT findings of postoperative complications, including vascular stenosis or thrombosis, bile duct leak or stricture, and extrahepatic fluid collection.

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Related in: MedlinePlus

Celiacomesenteric trunk in a 10-year-old boy. Volume rendering image shows the celiacomesenteric trunk (long arrow). The celiac and superior mesenteric arteries have a common origin. The splenic artery (short arrow) and the left gastric artery (arrowheads) arise from the celiac artery. RHA = right hepatic artery, LHA = left hepatic artery, GDA = gastrointestinal artery
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Figure 4: Celiacomesenteric trunk in a 10-year-old boy. Volume rendering image shows the celiacomesenteric trunk (long arrow). The celiac and superior mesenteric arteries have a common origin. The splenic artery (short arrow) and the left gastric artery (arrowheads) arise from the celiac artery. RHA = right hepatic artery, LHA = left hepatic artery, GDA = gastrointestinal artery

Mentions: Preoperative recognition of hepatic arterial variation is important for surgical planning. Anatomic variations in the hepatic artery may require complex surgical reconstruction or vascular graft interposition during anastomosis, especially when the artery is of insufficient length or small size (1). Variations in the hepatic artery are accurately delineated on 3D images (Figs. 2-4).


Multi-slice spiral CT of living-related liver transplantation in children: pictorial essay.

Choi SH, Goo HW, Yoon CH - Korean J Radiol (2004 Jul-Sep)

Celiacomesenteric trunk in a 10-year-old boy. Volume rendering image shows the celiacomesenteric trunk (long arrow). The celiac and superior mesenteric arteries have a common origin. The splenic artery (short arrow) and the left gastric artery (arrowheads) arise from the celiac artery. RHA = right hepatic artery, LHA = left hepatic artery, GDA = gastrointestinal artery
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2698162&req=5

Figure 4: Celiacomesenteric trunk in a 10-year-old boy. Volume rendering image shows the celiacomesenteric trunk (long arrow). The celiac and superior mesenteric arteries have a common origin. The splenic artery (short arrow) and the left gastric artery (arrowheads) arise from the celiac artery. RHA = right hepatic artery, LHA = left hepatic artery, GDA = gastrointestinal artery
Mentions: Preoperative recognition of hepatic arterial variation is important for surgical planning. Anatomic variations in the hepatic artery may require complex surgical reconstruction or vascular graft interposition during anastomosis, especially when the artery is of insufficient length or small size (1). Variations in the hepatic artery are accurately delineated on 3D images (Figs. 2-4).

Bottom Line: Multiplanar and three-dimensional imaging using multi-slice spiral CT can be used for preoperative vascular imaging, as well as for evaluating postoperative complications.In this essay, we describe the usefulness of multi-slice CT, combined with a variety of different reconstruction techniques, for the preoperative evaluation of transplant recipients.In addition, we demonstrate the multi-slice CT findings of postoperative complications, including vascular stenosis or thrombosis, bile duct leak or stricture, and extrahepatic fluid collection.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea.

ABSTRACT
In pediatric living-related liver transplantation, preoperative evaluation of the recipient is important for surgical planning, while the accurate diagnosis of postoperative complications is essential for graft salvage. Multiplanar and three-dimensional imaging using multi-slice spiral CT can be used for preoperative vascular imaging, as well as for evaluating postoperative complications. In this essay, we describe the usefulness of multi-slice CT, combined with a variety of different reconstruction techniques, for the preoperative evaluation of transplant recipients. In addition, we demonstrate the multi-slice CT findings of postoperative complications, including vascular stenosis or thrombosis, bile duct leak or stricture, and extrahepatic fluid collection.

Show MeSH
Related in: MedlinePlus