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Semin Intervent Radiol. 2015 Jun;32(2):133-55. doi: 10.1055/s-0035-1549842.

Iatrogenic-related transplant injuries: the role of the interventional radiologist.

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Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan.
Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio.
Section of Interventional Radiology, The University of Chicago, Chicago, Illinois.
Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio ; Case Western Reserve University School of Medicine, Cleveland, Ohio.


As advances in surgical techniques and postoperative care continue to improve outcomes, the use of solid organ transplants as a treatment for end-stage organ disease is increasing. With the growing population of transplant patients, there is an increasing need for radiologic diagnosis and minimally invasive procedures for the management of posttransplant complications. Typical complications may be vascular or nonvascular. Vascular complications include arterial stenosis, graft thrombosis, and development of fistulae. Common nonvascular complications consist of leaks, abscess formation, and stricture development. The use of interventional radiology in the management of these problems has led to better graft survival and lower patient morbidity and mortality. An understanding of surgical techniques, postoperative anatomy, radiologic findings, and management options for complications is critical for proficient management of complex transplant cases. This article reviews these factors for kidney, liver, pancreas, islet cell, lung, and small bowel transplants.


angioplasty; complications; interventional radiology; organ transplantation; percutaneous

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