Skip Navigation LinksHome > September/October 2011 - Volume 35 - Issue 5 > Injuries of Adjacent Organs by the Expanded Polytetrafluoroe...
Journal of Computer Assisted Tomography:
doi: 10.1097/RCT.0b013e318227a68a
Abdominal Imaging

Injuries of Adjacent Organs by the Expanded Polytetrafluoroethylene Grafts in the Venoplasty of Middle Hepatic Veins in Living-Donor Liver Transplantation: Computed Tomographic Findings and Possible Risk Factors

Kim, Min Ju MD*; Kim, Hyun Beom MD, PhD*†; Han, Joon Koo MD, PhD‡; Suh, Kyung-Suk MD, PhD§; Kim, Seong Hoon MD, PhD†; Baek, Jee Hyun MD§; So, Young Ho MD∥; Byun, Jae Young MD, PhD¶; Kim, Dong Goo MD, PhD#; Choi, Joon-Il MD, PhD¶

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Abstract

Objective: The objective of the study was to analyze computed tomography (CT) appearance and clinical features of adjacent-organ injuries related to expanded polytetrafluoroethylene (ePTFE) grafts after living-donor liver transplantation (LDLT).

Methods: We evaluated follow-up CT images of 204 patients who underwent venoplasty with ePTFE during LDLT and encountered 4 patients (1.96%) with adjacent-organ injuries related to ePTFE. Clinical imaging records were reviewed in terms of imaging findings and possible risk factors.

Results: In 3 patients, ePTFE graft perforated gastric antrum or duodenal bulb; in another patient, the common bile duct was injured. The mean interval between transplantation and identification of injury was 30 months. In patients with adjacent-organ injuries, biliary or perihepatic interventional treatments, adhesion of bowel and early occlusion of ePTFE grafts were commonly observed.

Conclusions: Adjacent-organ injuries by ePTFE graft after LDLT were rare but present. Interventional procedures, adhesion of the bowel wall and early occlusion of the grafts were possible risk factors.

© 2011 Lippincott Williams & Wilkins, Inc.

  

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