Post-Transplant Imaging of Vessels in the Abdomen

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after April 6, 2023:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 2.50
Procedures: 2.50
Abdomen and Pelvis: 2.50

Magnetic Resonance Imaging: 3.50
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 2.50
Body: 2.50

Nuclear Medicine Technology: 3.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 2.00
Gastrointestinal and Genitourinary Procedures: 2.00

Registered Radiologist Assistant: 4.00
Procedures: 4.00
Abdominal Section: 4.00

Sonography: 4.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 3.00
Abdomen: 3.00

Vascular-Interventional Radiography: 3.00
Procedures: 3.00
Vascular Diagnostic Procedures: 2.50
Vascular Interventional Procedures: 0.50

Vascular Sonography: 4.00
Patient Care: 1.00
Patient Interactions and Management: 1.00
Procedures: 3.00
Abdominal/Pelvic Vasculature: 3.00

Outline

1. Introduction
2. Transplantation Procedures in the Abdomen
   1. Liver Transplantation
   2. Renal Transplantation
   3. Pancreas and Islet Transplantation
   4. Intestinal Transplantation
3. Vascular and Related Complications after Transplantation
   1. Arterial Thrombosis
   2. Arterial Stenosis
   3. Venous Thrombosis and Stenosis
   4. Arteriovenous Fistulas
   5. Pseudoaneurysms
4. Conclusion

Objectives

Upon completion of this course, students will:

1. communicate the location of the liver
2. understand the types of liver transplants
3. explain the blood flow to and from the liver
4. differentiate between types of liver transplants and survival rates
5. articulate the type of anastomosis utilized in liver transplantation
6. list the potential causes for end stage renal disease
7. know the most common reason for kidney transplant
8. discuss the donor types for kidney transplant
9. verbalize patient wait times for living donor kidney transplants
10. understand the type of anastomosis utilized in kidney transplantation
11. list the types of pancreas transplants
12. compare the percentage and types of pancreas/kidney transplants between 1987 and 2004
13. communicate placement of kidney during SPK transplant
14. state the location of the pancreatic head
15. explain how islet cells are transplanted
16. point out how enteral nutrition can be administered
17. recognize dates of successful transplants
18. list the causes of intestinal failure in adults
19. verbalize post-transplantation vascular complications
20. articulate the post-transplantation time frame for vascular complications
21. list potential causes for early arterial thrombosis following transplantation
22. communicate limitations of vascular ultrasound for thrombosis evaluation
23. describe imaging procedures for the diagnosis of hepatic artery thrombosis
24. categorize the percentage of adults and children affected by post-transplant hepatic artery thrombosis
25. recite the liver complications caused by hepatic artery thrombosis
26. be familiar with the test of choice for detection of post-transplant biliary complications
27. recognize tests used to determine bile leaks
28. explain biliary cast syndrome
29. list the segmental arteries associated with the kidney
30. explain the imaging tests used to determine urinary leakage post-renal transplantation
31. list the areas affected by post pancreas transplantation arterial thrombosis
32. understand the two drainage techniques used in pancreas transplants
33. list pancreas graft thrombosis symptoms
34. note consequences of graft SMA and SMV thrombosis
35. categorize the predisposing factors for post-transplant arterial stenosis
36. list the major types of vasa vasorum
37. list the three main types of renal artery stenosis
38. know the treatment options for arterial stenosis
39. state the venous complications following liver transplant
40. describe what causes portal vein pseudostenosis
41. list symptoms of Budd-Chiari syndrome
42. state the most common complication of islet transplantation
43. understand the most common consequence of biopsy after allograft transplant
44. understand how AVFs are treated
45. note the treatment for pseudoaneurysm