The role of interventional radiology in the treatment of XXXX after paediatric liver transplantation.

@entity1 @entity384 @entity1157 @entity253 @entity528
PURPOSE: The aim of this study is to evaluate the safety and efficacy of percutaneous treatment of @entity253 after paediatric liver transplantation. MATERIALS AND METHODS: In the period between October 1999 and October 2010, a total of 92 transplants in 86 @entity1 were performed at our Liver Transplant Centre. Eighteen @entity1 had @entity253 (in four cases associated with intrahepatic @entity1157 ). Percutaneous treatment (transhepatic biliary drainage and conventional/cutting balloon dilatation) was proposed as a first approach in 13/18 @entity1 . Strict radiation protection precautions were taken in accordance with the ALARA (as low as reasonably achievable) principle. Mean follow-up time was 2,364  days. RESULTS: Surgical correction was required in 3/13 @entity1 ; in 8/13 cases, there was complete disappearance of clinical symptoms without bile duct dilatation; in one case, an asymptomatic persistent bile duct dilatation was detected while in the other case, the liver is currently in @entity528 (69  % clinical success including the asymptomatic @entity1 with @entity384 ). Two of the five @entity1 who were initially treated with surgery required percutaneous revision (clinical success of 100  %). There were two cases of long-term restenosis and two cases of transient haemobilia. CONCLUSIONS: Percutaneous procedures are safe and effective therapeutic options for the treatment of @entity253 after paediatric liver transplantation.
