Introduction: Portal venous thrombosis and stenosis are uncommon but serious causes of liver transplant graft failure.While surgical thrombectomy can be utilized for the treatment of portal steno-occlusive disease,ven...Introduction: Portal venous thrombosis and stenosis are uncommon but serious causes of liver transplant graft failure.While surgical thrombectomy can be utilized for the treatment of portal steno-occlusive disease,venous interventions with IR have been performed with encouraging results.Case description:69-year-old female with non-alcoholic steatohepatitis cirrhosis who received a liver transplant complicated by portal vein thrombus.Efforts between transplant surgery and IR allowed for successful thrombus removal via direct SMV access.Results:The advantages of direct SMV access with the surgery team include direct approach to accessing thrombus,sparing of liver parenchyma,and significant hemostatic control.展开更多
文摘Introduction: Portal venous thrombosis and stenosis are uncommon but serious causes of liver transplant graft failure.While surgical thrombectomy can be utilized for the treatment of portal steno-occlusive disease,venous interventions with IR have been performed with encouraging results.Case description:69-year-old female with non-alcoholic steatohepatitis cirrhosis who received a liver transplant complicated by portal vein thrombus.Efforts between transplant surgery and IR allowed for successful thrombus removal via direct SMV access.Results:The advantages of direct SMV access with the surgery team include direct approach to accessing thrombus,sparing of liver parenchyma,and significant hemostatic control.