abdomen final TRANSPLANTS

liver, kidney, panc transplants

what is the most common reason for liver transplants

cirrhosis

what is orthotopic

failed organ removed from patients body and healthy organ placed in same location

what is an allograft

transplant of an organ from a person with different genotype but same species

what is an autograft

patients own tissue

what are the 5 anastomoses

• suprahepatic vena cave

• infrahepatic vena cava

• hepatic artery

• portal vein

• biliary duct

what is the most common location of a stenosis after liver allograft

anastomotic site

what should HA velocities be below

200 cm/s

what is the normal RI for HA

0.5 - 0.7

what is the most common reasons for transplant failure

rejection

acute rejection occurs within the first __ days of transplant

10

what is this

abscess

for a HA stenosis the RI will be ____

less than 0.5

what is the most common vascular complication (liver transplant)

hepatic artery thrombosis

what is the most common biliary complication after liver transplant

obstruction

recurrence of HCC is seen in about ___% of patients after their liver transplant

40

what is the most common cause for needing a renal transplant

chronic end-stage renal disease or renal failure

where is transplant kidney placed

anterior right iliac fossa

renal artery anastomosed to _____

ipsilateral EIA

renal vein anastomosed to ________

ipsilateral EIV

what is renal autotransplantation

patients own kidney is removed from the retroperitoneum and reimplanted into iliac fossa

what is the normal RI for arcuate artery

0.6 - 0.7

what can be a finding of acute ejection of renal transplant

RI between 0.8 - 0.9

more than __% of renal transplant pts develop at least one infection in first year

80

what is the m/s peri-transplant fluid collection

lymphoceles

normal sono of kidney

• sinus is hyper

• cortex is hypo

what is the 2nd most common pathology of panc transplant

pancreatitis