Successful recanalization of portal vein thrombosis before liver transplantation using transjugular intrahepatic portosystemic shunt

被引:27
作者
Liatsos, C [1 ]
Vlachogiannakos, J [1 ]
Patch, D [1 ]
Tibballs, J [1 ]
Watkinson, A [1 ]
Davidson, B [1 ]
Rolles, K [1 ]
Burroughs, AK [1 ]
机构
[1] Royal Free Hosp, Dept Radiol, London NW3 2QG, England
关键词
D O I
10.1053/jlts.2001.23914
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A frequent complication in patients with end-stage liver disease is porta vein thrombosis (PVT), Although PVT is not considered an absolute contraindication to orthotopic liver transplantation (OLT), more complex surgery is required and patients have more postoperative complications and greater mortality rates. We describe 2 patients who experienced complete PVT either while waiting for liver transplantation or during the workup, resulting in acute deterioration of liver function, Recanalization of the portal vein was successfully performed in both patients using transjugular intrahepatic portosystemic stent shunt (TIPS), and patency was maintained by the addition of anticoagulation therapy. They subsequently underwent successful OLTs and remain well. In conclusion, we believe that TIPS placement can be performed safely in patients with recent PVT, ensuring the patency of the portal vein until OLT.
引用
收藏
页码:453 / 460
页数:8
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