Management of vascular and nonvascular complications following pancreas transplantation with interventional radiology - 02/10/20

Doi : 10.1016/j.diii.2020.02.002

A. David ^a,^⁎ , E. Frampas ^a, F. Douane ^a, C. Perret ^a, F. Leaute ^a, D. Cantarovich ^b, G. Karam ^c, J. Branchereau ^c
^a Department of Radiology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France
^b Department of Nephrology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France
^c Department of Urology, Nantes University Hospital, University of Medicine of Nantes, 44093 Nantes, France

^⁎Corresponding author. Department of Radiology, Centre Hospitalier Universitaire de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.Department of Radiology, Centre Hospitalier Universitaire de Nantes1, place Alexis-RicordeauNantes cedex 144093France

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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.

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