Management of vascular and nonvascular complications following pancreas transplantation with interventional radiology

A David; E Frampas; F Douane; C Perret; F Leaute; D Cantarovich; G Karam; J Branchereau

doi:10.1016/j.diii.2020.02.002

Management of vascular and nonvascular complications following pancreas transplantation with interventional radiology

Diagn Interv Imaging. 2020 Oct;101(10):629-638. doi: 10.1016/j.diii.2020.02.002. Epub 2020 Feb 20.

Authors

A David¹, E Frampas², F Douane², C Perret², F Leaute², D Cantarovich³, G Karam⁴, J Branchereau⁴

Affiliations

¹ Department of Radiology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France. Electronic address: [email protected].
² Department of Radiology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France.
³ Department of Nephrology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France.
⁴ Department of Urology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France.

PMID: 32089482
DOI: 10.1016/j.diii.2020.02.002

Abstract

Pancreas transplantation exposes to high rates of complications, either vascular (thrombosis, stenosis, pseudoaneurysm, arteriovenous fistula) or nonvascular (fluid collection, graft rejection). With advances in percutaneous and endovascular techniques, interventional radiologists are increasingly involved in the management of these complications. In this article, we review the anatomical considerations relevant to pancreas transplantation, the techniques used for image-guided interventions for vascular and nonvascular complications, and the expected outcomes of these interventions.

Keywords: Arteriovenous fistula; Endovascular procedures; Interventional; Pancreas transplantation; Postoperative complications; Radiology.

Publication types

Review

MeSH terms

Aneurysm, False* / diagnostic imaging
Aneurysm, False* / etiology
Aneurysm, False* / therapy
Endovascular Procedures*
Humans
Pancreas Transplantation* / adverse effects
Postoperative Complications / diagnostic imaging
Radiography, Interventional
Radiology, Interventional