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Liver Transplant Anatomy: Basics for Interventional Radiologists
Indravadan J Patel1, Daniel A Crawford1, Sailendra G Naidu1
1Vascular and Interventional Radiology, Department of Radiology, Mayo Clinic Arizona, Phoenix, Arizona.
Seminars in Interventional Radiology
|May 16, 2025
Summary
Liver transplantation survival rates are improving, but vascular complications are more frequent. Understanding posttransplant vascular anatomy is crucial for interventional radiologists performing minimally invasive procedures.
Area of Science:
- Radiology
- Vascular Surgery
- Transplant Surgery
Background:
- Liver transplantation is increasingly common in the US.
- Favorable 1- and 5-year survival rates are now the norm.
- Improved long-term survival leads to increased frequency of postprocedural vascular complications.
Purpose of the Study:
- To review the essential vascular and biliary anatomy following liver transplantation.
- To highlight the implications of this anatomy for interventional radiology.
- To provide a guide for managing posttransplant vascular complications.
Main Methods:
- Review of posttransplant vascular and biliary anatomy.
- Discussion of common vascular and biliary complications.
- Analysis of minimally invasive intervention strategies.
Main Results:
- Detailed description of posttransplant venous anatomy.
- Detailed description of posttransplant arterial anatomy.
- Detailed description of posttransplant biliary anatomy.
Conclusions:
- Familiarity with posttransplant anatomy is essential for interventional radiologists.
- Minimally invasive interventions are key in managing complications.
- This knowledge improves patient outcomes after liver transplantation.

