Noninvasive Vascular Imaging in Abdominal Solid Organ Transplantation

1 All authors: Department of Radiology and Medical Imaging, PO Box 800170, University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22908.
American Journal of Roentgenology (Impact Factor: 2.74). 10/2013; 201(4):W544-53. DOI: 10.2214/AJR.13.11306
Source: PubMed

ABSTRACT OBJECTIVE. In this article, we focus on the vascular complications related to liver, pancreas, and kidney transplantation. CONCLUSION. Long term allograft survival of solid organ transplantation depends on early intervention of complications. Noninvasive imaging with ultrasound, CT, and MRI allows accurate diagnosis of complications and aids in treatment planning.

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    ABSTRACT: Pancreatic transplantation, performed alone or in conjunction with kidney transplantation, is an effective treatment for advanced type I diabetes mellitus and select patients with type II diabetes mellitus. Following advancements in surgical technique, postoperative management, and immunosuppression, pancreatic transplantation has significantly improved the length and quality of life for patients suffering from pancreatic dysfunction. While computed tomography (CT) and magnetic resonance imaging (MRI) have more limited utility, ultrasound is the preferred initial imaging modality to evaluate the transplanted pancreas; gray-scale assesses the parenchyma and fluid collections, while Doppler interrogation assesses vascular flow and viability. Ultrasound is also useful to guide percutaneous interventions for the transplanted pancreas. With knowledge of the surgical anatomy and common complications, the abdominal radiologist plays a central role in the perioperative and postoperative evaluation of the transplanted pancreas.
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