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Vascular complications after adult living donor liver transplantation: Evaluation with ultrasonography

2016; Baishideng Publishing Group; Volume: 22; Issue: 4 Linguagem: Inglês

10.3748/wjg.v22.i4.1617

2219-2840

Lin Ma,

Transplantation: Methods and Outcomes

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, contrastenhanced ultrasound (CEUS) has significantly improved the diagnosis of postoperative vascular complications.This review focuses on the role of conventional grayscale ultrasound, Doppler ultrasound and CEUS for early diagnosis of vascular complications after adult LDLT.