Intraoperative placement of a Wallstent for portal vein stenosis and thrombosis after liver transplantation.
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.
McDaniel
H M
HM
Department of Surgery, Indiana University School of Medicine, Indianapolis 46202, USA.
Johnson
M
M
Pescovitz
M D
MD
Filo
R S
RS
Lumeng
L
L
Leapman
S B
SB
Milgrom
M L
ML
Jindal
R M
RM
D000328:Adult; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D011169:Portal Vein; D011183:Postoperative Complications / Q000601:surgery*; D015607:Stents; D013927:Thrombosis / Q000601:surgery*