Direct transmesenteric venous interventions in the acute post liver transplant setting

• 作者: Keshav Anand Luis Garza Glenn Halff Tarunjeet Klair Francisco Cigarroa Rajeev Suri Jorge Lopera
• 来源期刊: 介入医学杂志（英文）
• 年，卷（期）: 2021,（1）
• 所属期刊栏目: Case Report
• 页码范围: 46-48
• 页数: 3页
• 语种: 中文

摘要

Introduction:Portal venous thrombosis and stenosis are uncommon but serious causes of liver transplant graft failure.While surgical thrombectomy can be utilized for the treatment of portal steno-occlusive disease,venous interventions with IR have been performed with encouraging results.Case description:69-year-old female with non-alcoholic steatohepatitis cirrhosis who received a liver transplant complicated by portal vein thrombus.Efforts between transplant surgery and IR allowed for successful thrombus removal via direct SMV access.Results:The advantages of direct SMV access with the surgery team include direct approach to accessing thrombus,sparing of liver parenchyma,and significant hemostatic control.