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Portal vein thrombosis in patients undergoing orthotopic liver transplantation: intraoperative endovascular radiological procedures.

Abstract：

PURPOSE:To evaluate the usefulness of endovascular procedures for portal vein complications during orthotopic liver transplantation (OLT). MATERIALS AND METHODS:Between May 1994 and November 2004, we performed 504 OLTs in 464 adults. Seventy-eight patients (16.8%) presented with portal vein thrombosis (PVT). This analysis of patients from May 2000 to September 2004 included 10 patients with PVT, who were treated with endovascular techniques due to low portal flow. We compared this group with patients who were treated surgically with attention to rethrombosis and survival rates. If portal vein problems were due to obstruction, a venoplasty and primary stent placement were performed. We also embolized with coils or surgically ligated remaining competitive portosystemic shunts. RESULTS:Perfusion problems in the allograft were solved in all cases. We placed seven stents and embolized six competitive shunts. One anastomotic dysfunction was repaired. None of the patients died or rethrombosed during surgery or follow-up. CONCLUSION:Endovascular techniques during OLT can resolve some liver graft perfusion problems due to PVT and "steal" phenomena, especially with unsatisfactory eversion thromboendovenectomy in patients with grade IV PVT. Although primary permeability of stents has been good, these results need to be confirmed.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Gómez-Gutierrez M,Quintela J,Marini M,Gala B,Suarez F,Cao I,Sellés CC,Aguirrezabalaga J,Otero A,Mosteiro S

doi

10.1016/j.transproceed.2005.10.063

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

3906-8

issue

9

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(05)01215-7

journal_volume

37

pub_type

杂志文章

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