Portal Vein Stent Placement in Five Patients with Chronic Portal Vein Thrombosis Prior to Pancreatic Surgery.
Five patients with pancreatic tumors and chronic portal vein (PV) thrombosis underwent PV stent placement before surgery. The patients either had resectable tumors or locally advanced tumors with stable, partial, or complete response to neoadjuvant therapy. PV stent placement removed periportal collaterals in all cases, with no complications, in a mean time of 150 minutes. Patients received a daily dose of subcutaneous low-molecular-weight heparin until 12 hours before surgery, and low-molecular-weight heparin was resumed for 30 days after surgery. Surgery was performed 1 day to 3 months after PV stent placement, with no complications related to periportal collaterals.
Imaging Department, Hôpital Nord and Aix-Marseille Université, Chemin des Bourrely, Marseille 13915, France. Electronic address: ugo.scemama@gmail.com.
Ugo
U
Scemama
Department of Digestive Surgery, Hôpital Nord and Aix-Marseille Université, Chemin des Bourrely, Marseille 13915, France.
David Jérémie
DJ
Birnbaum
Department of Digestive Surgery, Hopital La Timone and Aix-Marseille Université, Marseille, France.
Mehdi
M
Ouaissi
Department of Digestive Surgery, Institut Paoli Calmette and Aix-Marseille Université, Marseille, France.
Olivier
O
Turrini
Department of Digestive Surgery, Hôpital Nord and Aix-Marseille Université, Chemin des Bourrely, Marseille 13915, France.
Vincent
V
Moutardier
Imaging Department, Hôpital Nord and Aix-Marseille Université, Chemin des Bourrely, Marseille 13915, France.
Jérôme
J
Soussan
D000328:Adult; D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D003097:Collateral Circulation; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D010690:Phlebography / Q000379:methods; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D012039:Regional Blood Flow; D012189:Retrospective Studies; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight