Interventional Procedures in Pediatric Liver Transplantation

An overview of the indications, technical considerations and expected results of interventional procedures in the pediatric liver.

Course ID: Q00334 Category:
Modalities: ,

2.5

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$29.00

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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.00
Procedures: 1.00
Abdomen and Pelvis: 1.00

Magnetic Resonance Imaging: 1.00
Procedures: 1.00
Body: 1.00

Registered Radiologist Assistant: 2.50
Procedures: 2.50
Abdominal Section: 2.50

Sonography: 1.50
Procedures: 1.50
Abdomen: 1.50

Radiation Therapy: 1.00
Patient Care: 0.50
Patient and Medical Record Management: 0.50
Procedures: 0.50
Treatment Sites and Tumors: 0.50

Vascular-Interventional Radiography: 2.50
Procedures: 2.50
Vascular Interventional Procedures: 1.25
Nonvascular Procedures: 1.25

Vascular Sonography: 1.00
Procedures: 1.00
Abdominal/Pelvic Vasculature: 1.00

Outline

  1. Introduction
  2. Diagnosis of Graft Disease
    1. Percutaneous Liver Biopsy
    2. Transjugular Liver Biopsy
  3. Treatment of Vascular Complications
    1. Hepatic Artery Stenosis
    2. Hepatic Artery Thrombosis
    3. Hepatic Vein Stenosis
    4. Inferior Vena Cava Stenosis
    5. Portal Vein Stenosis
  4. Treatment of Biliary Complications
    1. Anastomotic Biliary Strictures
    2. Intrahepatic Biliary Strictures and Bilomas
    3. Isolated Draining Intrahepatic Biliary Ducts
    4. Bile Leakage
  5. Summary

Objectives

Upon completion of this course, students will:

  1. know the most common type of pediatric liver transplant
  2. know the role of radiology in pediatric liver transplantation programs
  3. understand the imaging modality most often used for performing percutaneous liver biopsies
  4. understand how a percutaneous liver biopsy is performed
  5. know proper post liver biopsy procedures
  6. know the contraindications of percutaneous liver biopsy
  7. understand how a transjugular liver biopsy is performed
  8. know which imaging modalities help reduce the risk of capsule perforation
  9. know the contraindications of transjugular liver biopsy
  10. know when most vascular complications appear following transplantation
  11. know the percentage of patients that develop hepatic artery stenosis
  12. understand the causes of hepatic artery stenosis
  13. appreciate the benefits of early diagnosis of hepatic artery stenosis and early intervention
  14. know proper hepatic arteriography procedures
  15. comprehend abnormal trans-stenotic pressure gradients
  16. know what defines procedural success after hepatic artery stenosis intervention
  17. know the imaging modality that is most commonly used for follow up evaluation of flow
  18. understand hepatic artery thrombosis
  19. know the current treatment options for hepatic artery thrombosis
  20. understand hepatic vein stenosis
  21. know the treatment options for hepatic vein stenosis
  22. recognize abnormal pressure gradients in hepatic vein stenosis
  23. know when metallic stents are appropriate for hepatic vein stenosis
  24. know where inferior vena cava stenoses usually occur
  25. know the treatment for vena cava stenosis
  26. understand portal vein stenosis
  27. know the treatment for portal vein stenosis
  28. comprehend biliary complications in pediatric liver transplants
  29. know when biliary complications occur
  30. understand MR cholangiography
  31. understand hepatobiliary scintigraphy
  32. know proper percutaneous transhepatic cholangiography techniques
  33. know what causes intrahepatic biliary strictures
  34. comprehend how isolated draining biliary ducts are treated
  35. be familiar with the usual treatment for bile leaks