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
Life-threatening hemorrhage rarely occurs from the portal vein following blunt hepatic trauma.Traditionally,severe portal bleeding in this setting has been controlled by surgical techniques such as packing,ligation,an...Life-threatening hemorrhage rarely occurs from the portal vein following blunt hepatic trauma.Traditionally,severe portal bleeding in this setting has been controlled by surgical techniques such as packing,ligation,and venorrhaphy.The presence of portal hypertension could potentially increase the amount of hemorrhage in the setting of blunt portal vein trauma making it more difficult to control.This case series describes the use of indirect carbon dioxide portography to identify portal hemorrhage.Furthermore,these cases illustrate attempted endovascular treatment utilizing a transjugular intrahepatic portosystemic shunt in one scenario and transmesocaval shunt coiling of a jejunal varix in the other.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.
文摘Life-threatening hemorrhage rarely occurs from the portal vein following blunt hepatic trauma.Traditionally,severe portal bleeding in this setting has been controlled by surgical techniques such as packing,ligation,and venorrhaphy.The presence of portal hypertension could potentially increase the amount of hemorrhage in the setting of blunt portal vein trauma making it more difficult to control.This case series describes the use of indirect carbon dioxide portography to identify portal hemorrhage.Furthermore,these cases illustrate attempted endovascular treatment utilizing a transjugular intrahepatic portosystemic shunt in one scenario and transmesocaval shunt coiling of a jejunal varix in the other.
