title: Vascular complications after adult living donor liver transplantation: Evaluation with ultrasonography.
abstract: Living donor liver transplantation (LDLT) has been widely used to treat end-stage liver disease with improvement in surgical technology and the application of new immunosuppressants. Vascular complications after liver transplantation remain a major threat to the survival of recipients. LDLT recipients are more likely to develop vascular complications because of their complex vascular reconstruction and the slender vessels. Early diagnosis and treatment are critical for the survival of graft and recipients. As a non-invasive, cost-effective and non-radioactive method with bedside availability, conventional gray-scale and Doppler ultrasonography play important roles in identifying vascular complications in the early postoperative period and during the follow-up. Recently, with the detailed vascular tracing and perfusion visualization, contrast-enhanced ultrasound (CEUS) has significantly improved the diagnosis of postoperative vascular complications. This review focuses on the role of conventional gray-scale ultrasound, Doppler ultrasound and CEUS for early diagnosis of vascular complications after adult LDLT.
authors.affiliation: Lin Ma, Qiang Lu, Yan Luo, Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Ma
authors.affiliation: Lin Ma, Qiang Lu, Yan Luo, Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Lu
authors.affiliation: Lin Ma, Qiang Lu, Yan Luo, Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Luo
mesh_terms: D000328:Adult; D003287:Contrast Media; D042241:Early Diagnosis; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects* / Q000379:methods; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging*; D011237:Predictive Value of Tests; D012307:Risk Factors; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods*; D018615:Ultrasonography, Doppler, Color; D014652:Vascular Diseases / Q000000981:diagnostic imaging* / Q000209:etiology
chemical_list: D003287:Contrast Media
keywords: Contrast-enhanced ultrasound; Doppler ultrasound; Living donor liver transplantation; Ultrasonography; Vascular complications
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