Endovascular Stenting of Portal Vein for Graft Rescue after a Pancreas Transplant Venous Graft Thrombosis: A Case Report.
Venous thrombosis of pancreas transplant allografts often leads to graft loss. It is an worrisome complication and difficult to treat, forming the most common nonimmunological cause of graft loss. Multiple risk factors have been implicated in the development of venous thrombosis of pancreas transplant. Color Doppler ultrasonography enables early diagnosis of venous thrombosis, thus increasing the possibility of graft-rescue treatments. Endovascular management of pancreatic transplant vascular complications is scant and in the form of case reports. We report a case of early detection of pancreatic graft venous thrombosis that was treated successfully by catheter-directed thrombolysis mechanical thrombectomy, percutaneous transluminal angioplasty, and stenting of portal vein.
Department of Transplantation, Einstein Medical Center, Philadelphia, PA. Electronic address: drreslan5@gmail.com.
Ossama M
OM
Reslan
Department of Surgery, Wellspan York Hospital, York, PA.
Jordan M
JM
Kirsch
Department of Transplantation, Einstein Medical Center, Philadelphia, PA.
Hitesh
H
Kaul
Department of Transplantation, Einstein Medical Center, Philadelphia, PA.
Stalin
S
Campos
Department of Transplantation, Einstein Medical Center, Philadelphia, PA.
Radi
R
Zaki
Division of Interventional Radiology, Department of Radiology, Einstein Medical Center, Philadelphia, PA.
Paul S
PS
Brady
Department of Transplantation, Einstein Medical Center, Philadelphia, PA.
Kamran
K
Khanmoradi
D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006085:Graft Survival; D006801:Humans; D008297:Male; D016035:Pancreas Transplantation / Q000009:adverse effects*; D010690:Phlebography; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D000069322:Self Expandable Metallic Stents; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*