Percutaneous transhepatic interventional therapy of portal vein stenosis in paediatric liver transplantation: A systematic review of efficacy and safety.

التفاصيل البيبلوغرافية
العنوان:	Percutaneous transhepatic interventional therapy of portal vein stenosis in paediatric liver transplantation: A systematic review of efficacy and safety.
المؤلفون:	Kyaw L; Department of Paediatric Surgery, National University Hospital, Singapore City, Singapore., Lai NM; School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia., Iyer SG; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, National University Hospital, Singapore City, Singapore., Loh DSKL; Department of Paediatric Surgery, National University Hospital, Singapore City, Singapore., Loh SEK; Department of Diagnostic Imaging, National University Health System, Singapore City, Singapore., Mali VP; Department of Paediatric Surgery, National University Hospital, Singapore City, Singapore.
المصدر:	Pediatric transplantation [Pediatr Transplant] 2022 Mar; Vol. 26 (2), pp. e14187. Date of Electronic Publication: 2021 Nov 01.
نوع المنشور:	Journal Article; Systematic Review
اللغة:	English
بيانات الدورية:	Publisher: Munksgaard Country of Publication: Denmark NLM ID: 9802574 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-3046 (Electronic) Linking ISSN: 13973142 NLM ISO Abbreviation: Pediatr Transplant Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Copenhagen ; Malden, MA : Munksgaard, c1997-
مواضيع طبية MeSH:	Stents, Angioplasty, Balloon/methods , Portal Vein/pathology , Portal Vein/surgery, Child ; Constriction, Pathologic ; Humans
مستخلص:	Purpose of the Systematic Review: To determine the efficacy and safety of percutaneous trans-hepatic balloon and/or stent angioplasty (PTA) in the management of portal vein (PV) stenosis following paediatric liver transplantation. Methods: Articles were included from a systematic search of Medline, Embase, Cochrane CENTRAL, ClinicalTrials.gov and International Clinical Trials Registry from inception to the 29th of August 2020. Results: There were 213 paediatric liver recipients who underwent PTA for PV stenosis in 19 included studies published between 1991 and 2019. Balloon angioplasty was the initial treatment in the majority (n = 153). Primary stent placement (n = 34) was performed for elastic recoil, intimal tears and PV kinks and rescue stent placement (n = 14) for recurrent PV stenosis following primary balloon angioplasty. The technical success was 97.6%-100% overall, 97.6%-100% for balloon-angioplasty-only and 100% for primary stenting. The clinical success was 50%-100% overall, 50%-100% for balloon-angioplasty-only and 100% for primary stenting. Long-term PV patency was 50%-100% overall, 37.5%-100% for balloon-angioplasty-only and 100% for primary stenting. Primary balloon angioplasty was successful in 78% of the cases. Of the recurrent PV stenoses, 9% resolved with stent placement and one required a meso-Rex shunt. There was one re-transplantation without stenting. The complication rate was 2.6% for balloon-angioplasty-only (bleeding, liver abscess, 2 PV thromboses) and 5.9% for primary stenting (bleeding, stent-fracture). There was no procedure-related mortality. Conclusion: Percutaneous transhepatic balloon angioplasty may be the initial management of portal vein stenosis in paediatric liver recipients. Stent placement may be a primary option in selected cases and a reliable rescue option for recurrent portal vein stenosis following balloon-angioplasty-only. (© 2021 Wiley Periodicals LLC.)
References:	Porrett PM, Hsu J, Shaked A. Late surgical complications following liver transplantation. Liver Transplant. 2009;15(S2):S12-S18. https://doi.org/10.1002/lt.21893. Buell JF, Funaki B, Cronin DC, et al. Long-term venous complications after full-size and segmental pediatric liver transplantation. Ann Surg. 2002;236(5):658-666. https://doi.org/10.1097/00000658-200211000-00017. Tannuri U, Velhote MCP, Santos MM, et al. Pediatric liver transplantation: fourteen years of experience at the Children Institute in São Paulo, Brazil. In: Transplantation Proceedings. Vol 36. Elsevier; 2004:941-942. https://doi.org/10.1016/j.transproceed.2004.03.101. Broelsch CE, Whitington PF, Emond JC, et al. Liver transplantation in children from living related donors: surgical techniques and results. Ann Surg. 1991;214(4):428-439. https://doi.org/10.1097/00000658-199110000-00007. Alvarez F. Portal vein complications after pediatric liver transplantation. Curr Gastroenterol Rep. 2012;14(3):270-274. https://doi.org/10.1007/s11894-012-0257-5. Naik KB, Hawkins CM, Gill AE, Gupta NA. Clinical efficacy of percutaneous transhepatic portal vein angioplasty for late-onset portal vein stenosis in pediatric liver transplant patients. Transplantation. 2018;102(6):e282-e287. https://doi.org/10.1097/TP.0000000000002138. Fonio P, Righi D, Discalzi A, et al. Percutaneous segmental dilatation of portal stenosis after paediatric liver transplantation to avoid or postpone surgery: two cases and literature review. Radiol Medica. 2014;119(12):895-902. https://doi.org/10.1007/s11547-014-0391-2. Woo DH, LaBerge JM, Gordon RL, Wilson MW, Kerlan RK. Management of portal venous complications after liver transplantation. Tech Vasc Interv Radiol. 2007;10(3):233-239. https://doi.org/10.1053/j.tvir.2007.09.017. Kawano Y, Mizuta K, Sugawara Y, et al. Diagnosis and treatment of pediatric patients with late-onset portal vein stenosis after living donor liver transplantation. Transpl Int. 2009;22(12):1151-1158. https://doi.org/10.1111/j.1432-2277.2009.00932.x. Karakayali H, Sevmis S, Boyvat F, et al. Diagnosis and treatment of late-onset portal vein stenosis after pediatric living-donor liver transplantation. Transplant Proc. 2011;43(2):601-604. https://doi.org/10.1016/j.transproceed.2011.01.010. Cho Y-P, Kim K-M, Ha T-Y, et al. Management of late-onset portal vein complications in pediatric living-donor liver transplantation. Pediatr Transplant. 2014;18(1):64-71. https://doi.org/10.1111/petr.12204. Olcott EW, Ring EJ, Roberts JP, Ascher NL, Lake JR, Gordon RL. Percutaneous transhepatic portal vein angioplasty and stent placement after liver transplantation: early experience. J Vasc Interv Radiol. 1990;1(1):17-22. https://doi.org/10.1016/S1051-0443(90)72496-7. Raby N, Karani J, Thomas S, O’Grady J, Williams R. Stenoses of vascular anastomoses after hepatic transplantation: treatment with balloon angioplasty. Am J Roentgenol. 1991;157(1):167-171. https://doi.org/10.2214/ajr.157.1.1828649. Egawa H. Application of interventional radiology for stenosis of vascular anastomosis in living-donor liver transplantation. Nihon Geka Gakkai Zasshi. 2004;105(6):364-368. http://www.ncbi.nlm.nih.gov/pubmed/15224618. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71. Shim DJ, Ko GY, Sung KB, Il GD, Ko HK. Long-term outcome of portal vein stent placement in pediatric liver transplant recipients: a comparison with balloon angioplasty. J Vasc Interv Radiol. 2018;29(6):800-808. https://doi.org/10.1016/j.jvir.2017.11.019. Campbell M, McKenzie JE, Sowden A, et al. Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline. BMJ. 2020;368:l6890. https://doi.org/10.1136/bmj.l6890. Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol. 2005;5(1):13. https://doi.org/10.1186/1471-2288-5-13. Gao H, Wang H, Chen G, Yi Z. Intervention therapy for portal vein stenosis/occlusion after pediatric liver transplantation. Ann Transplant. 2017;22:222-229. https://doi.org/10.12659/AOT.902239. Yabuta M, Shibata T, Shibata T, et al. Long-term outcome of percutaneous transhepatic balloon angioplasty for portal vein stenosis after pediatric living donor liver transplantation: a single institute’s experience. J Vasc Interv Radiol. 2014;25(9):1406-1412. https://doi.org/10.1016/j.jvir.2014.03.034. Zajko AB, Sheng R, Bron K, Reyes J, Nour B, Tzakis A. Percutaneous transluminal angioplasty of venous anastomotic stenoses complicating liver transplantation: intermediate-term results. J Vasc Interv Radiol. 1994;5(1):121-126. https://doi.org/10.1016/S1051-0443(94)71467-6. Narita Y, Sugawara Y, Ibuki S, et al. Portal vein stent placement in living-donor liver transplantation: a single-center experience. Transplant Proc. 2019;51(5):1522-1524. https://doi.org/10.1016/j.transproceed.2019.01.123. Yeh YT, Chen CY, Tseng HS, et al. Enlarging vascular stents after pediatric liver transplantation. J Pediatr Surg. 2017;52(12):1934-1939. https://doi.org/10.1016/j.jpedsurg.2017.08.060. Rollins NK, Sheffield EG, Andrews WS. Portal vein stenosis complicating liver transplantation in children: Percutaneous transhepatic angioplasty. Radiology. 1992;182(3):731-734. https://doi.org/10.1148/radiology.182.3.1531543. Kwang BP, Sung WC, Do YS, Sung WS, Sung GC, Choo IW. Percutaneous angioplasty of portal vein stenosis that complicates liver transplantation: the mid-term therapeutic results. Korean J Radiol. 2005;6(3):161-166. https://doi.org/10.3348/kjr.2005.6.3.161. Hotta R, Hoshino K, Nakatsuka S, et al. Transileocolic venous balloon dilatation for the management of primary and recurrent portal venous stenosis after living donor liver transplantation in children. Pediatr Surg Int. 2007;23(10):939-945. https://doi.org/10.1007/s00383-007-1974-y. Carnevale FC, De Tarso MA, Moreira AM, et al. Long-term results of the percutaneous transhepatic venoplasty of portal vein stenoses after pediatric liver transplantation. Pediatr Transplant. 2011;15(5):476-481. https://doi.org/10.1111/j.1399-3046.2011.01481.x. Funaki B, Rosenblum JD, Leef JA, et al. Percutaneous treatment of portal venous stenosis in children and adolescents with segmental hepatic transplants: long-term results. Radiology. 2000;215(1):147-151. https://doi.org/10.1148/radiology.215.1.r00ap38147. Cheng YF, Ou HY, Tsang LLC, et al. Vascular stents in the management of portal venous complications in living donor liver transplantation. Am J Transplant. 2010;10(5):1276-1283. https://doi.org/10.1111/j.1600-6143.2010.03076.x. Uller W, Knoppke B, Schreyer AG, et al. Interventional radiological treatment of perihepatic vascular stenosis or occlusion in pediatric patients after liver transplantation. Cardiovasc Intervent Radiol. 2013;36(6):1562-1571. https://doi.org/10.1007/s00270-013-0595-1. Katano T, Sanada Y, Hirata Y, et al. Endovascular stent placement for venous complications following pediatric liver transplantation: outcomes and indications. Pediatr Surg Int. 2019;35(11):1185-1195. https://doi.org/10.1007/s00383-019-04551-9. Patriquin HB, Perreault G, Grignon A, et al. Normal portal venous diameter in children. Pediatr Radiol. 1990;20(6):451-453. https://doi.org/10.1007/BF02075206. Soyupak S, Gunesli A, Seydaoğlu G, Binokay F, Celiktas M, Inal M. Portal venous diameter in children: normal limits according to age, weight and height. Eur J Radiol. 2010;75(2):245-247. https://doi.org/10.1016/J.EJRAD.2009.03.052. Godoy MA, Camúñez F, Echenagusia A, et al. Percutaneous treatment of benign portal vein stenosis after liver transplantation. J Vasc Interv Radiol. 1996;7(2):273-276. https://doi.org/10.1016/S1051-0443(96)70779-0. Sanada Y, Kawano Y, Mizuta K, et al. Strategy to prevent recurrent portal vein stenosis following interventional radiology in pediatric liver transplantation. Liver Transplant. 2010;16(3):332-339. https://doi.org/10.1002/lt.21995. Patel R, Mahaveer J, Tahir N, Rajwal S, McClean P, Patel JV. Outcomes of percutaneous portal vein intervention in a single UK paediatric liver transplantation programme. Cardiovasc Intervent Radiol. 2018;41(1):96-103. https://doi.org/10.1007/S00270-017-1792-0. Bertram H, Pfister E-D, Becker T, Schoof S. Transsplenic endovascular therapy of portal vein stenosis and subsequent complete portal vein thrombosis in a 2-year-old child. J Vasc Interv Radiol. 2010;21(11):1760-1764. https://doi.org/10.1016/J.JVIR.2010.06.025. Nosaka S, Isobe Y, Kasahara M, et al. Recanalization of post-transplant late-onset long segmental portal vein thrombosis with bidirectional transhepatic and transmesenteric approach. Pediatr Transplant. 2013;17(2):E71-E75. https://doi.org/10.1111/PETR.12050. Krebs-Schmitt D, Briem-Richter A, Grabhorn E, et al. Effectiveness of Rex shunt in children with portal hypertension following liver transplantation or with primary portal hypertension. Pediatr Transplant. 2009;13(5):540-544. https://doi.org/10.1111/J.1399-3046.2008.01109.X. Sterne JAC, Gavaghan D, Egger M. Publication and related bias in meta-analysis: power of statistical tests and prevalence in the literature. J Clin Epidemiol. 2000;53(11):1119-1129. https://doi.org/10.1016/S0895-4356(00)00242-0.
فهرسة مساهمة:	Keywords: angioplasty; interventional radiology; liver transplant; pediatric; portal vein stenosis; stent
تواريخ الأحداث:	Date Created: 20211101 Date Completed: 20220316 Latest Revision: 20220316
رمز التحديث:	20231215
DOI:	10.1111/petr.14187
PMID:	34724594
قاعدة البيانات:	MEDLINE

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تدمد:	1399-3046
DOI:	10.1111/petr.14187