Endovascular treatment of splenomesenteric-portal vein thromboses during orthotopic liver transplantation.
Extensive splanchnic venous thrombosis in patients undergoing orthotopic liver transplantation (OLT) continues to have a substantial impact on surgical complexity and perioperative morbidity and mortality rates. This report presents an experience in eight patients with splanchnic venous thrombosis treated by means of splanchnic vessel recanalization, primary stent placement, and closure of spontaneous competitive shunts during OLT. In all cases, portal perfusion in the allograft was adequate, portal hypertension was solved, and no complications were observed. None of the patients died during surgery or follow-up. The results reported here need to be confirmed in future studies.
Marini
Milagros
M
Department of Radiology, Complejo Hospitalario Universitario Juan Canalejo, 84 La Coruña 15006, Spain. milagrosmarini@canalejo.org
Gómez-Gutierrez
Manuel
M
Cao
Ignacio
I
Sellés
Carlos
C
Aguirrezabalaga
Javier
J
Otero
Alejandra
A
Soler
Rafaela
R
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D016031:Liver Transplantation; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008642:Mesenteric Veins / Q000000981:diagnostic imaging; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging; D015641:Radiography, Interventional; D013162:Splenic Vein / Q000000981:diagnostic imaging; D015607:Stents; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*