Abstract #4088
Pitfalls of the Piggyback
Marina-Portia Anthony 1 , Stuart Bentley-Hibbert 1 , Anuradha S Shenoy-Bhangle 1 , Elizabeth Hecht 1 , Benjamin Samstein 2 , and Martin R Prince 1
1
Abdominal Division, Department of Radiology,
Columbia University Medical Center, New York, NY, United
States,
2
Department
of Surgery, Columbia University Medical Center, New
York, NY, United States
Orthotopic Liver Transplant (OLT) was traditionally
performed using conventional caval reconstruction with
end-to-end anastomosis. In recent years however, the
piggyback technique (PB) with preservation of the
recipient retrohepatic IVC and side-to-side anastomosis
of the donor IVC to a cuff fashioned from the recipient
hepatic veins, has gained popularity. The purpose of
this study is to report the variety of MRI appearances
of the donor IVC stump produced as a result of this new
technique, which may cause confusion in the uninformed
reader.
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