Imaging in Transplantation

von: Alexander A. Bankier

Springer-Verlag, 2007

ISBN: 9783540682189 , 258 Seiten

Format: PDF

Kopierschutz: Wasserzeichen

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Mehr zum Inhalt

Imaging in Transplantation


 

Foreword

5

Preface

6

Contents

8

Solid Organ Transplantation: Past, Present, and Future Challenges

9

1.1 Historical Overview

9

1.2 Organ Procurement for Transplantation

10

1.3 Patient Selection for Transplantation

11

1.4 Immune Responses to Allografts/ Xenotransplantation

12

1.5 Role of Imaging in Transplantation

13

1.6 Ethical and Economical Issues in Organ Transplantation

15

References

16

Heart Transplantation

18

2.1 Epidemiological, Clinical and Surgical Considerations

18

2.1.1 History and Epidemiology

18

2.1.2 Pre- Surgical Evaluation: Recipient Evaluation and Selection

19

2.1.3 Operation

21

2.1.4 Perioperative Complications and Problems

30

2.1.5 Cardiac Retransplantation

31

2.1.6 Strategies of Immunosuppression

31

2.1.7 Endomyocardial Biopsy, Acute and Chronic Rejection

32

2.1.8 Infections After Cardiac Transplantation

33

2.1.9 Long- Term Survival After Heart Transplantation

34

2.1.10 Conclusion

35

References

35

2.2 Imaging in Heart Transplantation

39

2.2.1 Introduction

39

2.2.2 Complications of Cardiac Transplantation – An Overview

40

2.2.3 Cardiac Transplantation – The Pre-Surgical Evaluation

40

2.2.4 Cardiac Transplantation – Overview of the Operation

41

2.2.5 Cardiac Transplantation – The Immediate Post- Surgical Period

42

2.2.6 Cardiac Transplantation – The First Year

43

2.2.7 Infection

46

2.2.8 Cardiac Transplantation – After 1 Year

51

2.2.9 Cardiac Allograft Vasculopathy of the Coronary Arteries

52

2.2.10 Post- Transplant Malignancy

53

2.2.11 Other Complications of Therapy

54

References

55

Renal Transplantation: Epidemiological, Clinical, Radiological and Surgical Considerations

57

3.1 Epidemiological Considerations

57

3.2 Presurgical Evaluations

58

3.3 Current Surgical Techniques

60

3.4 Radiological Assessment of the Graft

61

3.5 Early Postoperative Phase

64

3.6 Long- Term Follow- Up

91

3.7 Emergent Imaging Techniques

97

References

101

Liver Transplantation

105

4.1 Epidemiological, Clinical and Surgical Considerations

105

4.1.1 Introduction

105

4.1.2 Epidemiology and Indications for Liver Transplantation

105

4.1.3 Preoperative Evaluation

107

4.1.4 Postoperative Phase: Early Postoperative Complications

110

4.1.5 Long- Term Follow- Up: Late Complications

113

4.1.6 Conclusions

115

References

115

4.2 Imaging of Liver Transplantation

116

4.2.1 Introduction

116

4.2.2 Surgical Anatomy

116

4.2.3 Imaging Modalities

119

4.2.4 Recipients

120

4.2.5 Donors

132

References

139

Lung Transplantation

143

5.1 Epidemiological, Clinical and Surgical Considerations

143

5.1.1 Introduction

143

5.1.2 Pretransplant Evaluation and Imaging

146

5.1.3 Imaging During the First 3 Months After Transplantation

147

5.1.4 Complications

147

5.1.5 Long- Term Follow- Up

152

5.1.6 Imaging of Interventional Complications

155

References

155

5.2 Imaging of Lung Transplantation

157

5.2.1 Introduction

157

5.2.2 Preoperative Imaging

160

5.2.3 Postoperative Complications

160

References

174

Bone Marrow Transplantation

180

6.1 Hematopoietic Transplantation

180

6.1.1 Introduction

180

6.1.2 History

181

6.1.3 Indications

182

6.1.4 Transplantation Technique

182

6.1.5 Transplant Complications

185

6.1.6 Results

188

6.1.7 Future Developments

189

References

189

6.2 Imaging in Bone Marrow Transplantation

190

6.2.1 Introduction

190

6.2.2 Clinical Considerations

191

6.2.3 Integrating Clinical Factors, Imaging Findings, and Other Diagnostic Procedures

191

6.2.4 Infectious Complications

193

6.2.5 Non- Infectious Complications

200

6.2.6 Conclusion

209

References

209

Imaging in Pancreas and Intestinal Transplantation

214

7.1 Introduction to Pancreas Transplantation

214

7.2 Organ Procurement

215

7.3 Back- Table Reconstruction

215

7.4 Pancreas Transplantation

215

7.5 Posttransplantation Complications

217

7.6 Imaging Techniques

217

7.7 Imaged Abnormalities

217

7.8 Vascular Graft Complications Including Rejection

223

7.10 Other Transplantation-Associated Complications

225

7.9 Pancreatic Graft Complications Including Infection

225

7.11 Introduction to Intestinal Transplantation

229

7.12 Intestinal Transplantation

231

7.13 Multivisceral Transplantation

232

7.14 Liver- Intestinal Transplantation

236

7.15 Posttransplantation Complications

239

7.16 Imaging Modalities

239

7.17 Imaged Abnormalities

240

7.18 Intestinal Graft Complications Including Infection

240

7.19 Vascular Graft Complications

242

7.20 Other Transplantation-Associated Complications

242

References

245

Subject Index

247

List of Contributors

254