Intraoperative placement of a Wallstent for portal vein stenosis and thrombosis after liver transplantation

被引:13
作者
McDaniel, HM
Johnson, M
Pescovitz, MD
Filo, RS
Lumeng, L
Leapman, SB
Milgrom, ML
Jindal, RM
机构
[1] INDIANA UNIV,MED CTR 4258,DEPT SURG,SCH MED,INDIANAPOLIS,IN 46202
[2] INDIANA UNIV,SCH MED,DEPT RADIOL,INDIANAPOLIS,IN 46202
[3] INDIANA UNIV,SCH MED,DEPT HEPATOL,INDIANAPOLIS,IN 46202
关键词
D O I
10.1097/00007890-199702270-00021
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We report a case of orthotopic liver transplantation, in which portal vein thrombosis developed in the immediate postoperative period. Surgical thrombectomy and intraoperative placement of a large caliber Wallstent resulted in long-term patency. The unique feature of this case is the intraoperative placement of the stent via the inferior mesenteric vein under fluoroscopic guidance. The use of a large caliber (16 mm) stent obviated the need for postoperative anticoagulation.
引用
收藏
页码:607 / 608
页数:2
相关论文
共 9 条
[1]  
AZOULAY D, 1993, SURG GYNECOL OBSTET, V176, P599
[2]  
BILBAO JI, 1995, CARDIOVASC INTER RAD, V18, P323
[3]  
BURKE GW, 1988, SURGERY, V104, P924
[4]   INCIDENCE, RISK-FACTORS, MANAGEMENT, AND OUTCOME OF PORTAL-VEIN ABNORMALITIES AT ORTHOTOPIC LIVER-TRANSPLANTATION [J].
DAVIDSON, BR ;
GIBSON, M ;
DICK, R ;
BURROUGHS, A ;
ROLLES, K .
TRANSPLANTATION, 1994, 57 (08) :1174-1177
[5]   PORTAL-VEIN THROMBOLYSIS AND CLOSURE OF COMPETITIVE SHUNTS FOLLOWING LIVER-TRANSPLANTATION [J].
DURHAM, JD ;
LABERGE, JM ;
ALTMAN, S ;
KAM, I ;
EVERSON, GT ;
GORDON, RL ;
KUMPE, DA .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (04) :611-618
[6]  
Haskal Z J, 1993, J Vasc Interv Radiol, V4, P789, DOI 10.1016/S1051-0443(93)71974-0
[7]  
ROUCH DA, 1988, SURG GYNECOL OBSTET, V166, P311
[8]   THE SPECTRUM OF PORTAL-VEIN THROMBOSIS IN LIVER-TRANSPLANTATION [J].
STIEBER, AC ;
ZETTI, G ;
TODO, S ;
TZAKIS, AG ;
FUNG, JJ ;
MARINO, I ;
CASAVILLA, A ;
SELBY, RR ;
STARZL, TE .
ANNALS OF SURGERY, 1991, 213 (03) :199-206
[9]   PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY OF VENOUS ANASTOMOTIC STENOSES COMPLICATING LIVER-TRANSPLANTATION - INTERMEDIATE-TERM RESULTS [J].
ZAJKO, AB ;
SHENG, R ;
BRON, K ;
REYES, J ;
NOUR, B ;
TZAKIS, A .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (01) :121-126