title: Endovascular treatment of splenomesenteric-portal vein thromboses during orthotopic liver transplantation.
abstract: 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.
authors.affiliation: Department of Radiology, Complejo Hospitalario Universitario Juan Canalejo, 84 La Coruña 15006, Spain. milagrosmarini@canalejo.org
authors.forename: Milagros
authors.initials: M
authors.lastname: Marini
authors.forename: Manuel
authors.initials: M
authors.lastname: Gómez-Gutierrez
authors.forename: Ignacio
authors.initials: I
authors.lastname: Cao
authors.forename: Carlos
authors.initials: C
authors.lastname: Sellés
authors.forename: Javier
authors.initials: J
authors.lastname: Aguirrezabalaga
authors.forename: Alejandra
authors.initials: A
authors.lastname: Otero
authors.forename: Rafaela
authors.initials: R
authors.lastname: Soler
mesh_terms: 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*