论文信息 - Intraoperative placement of a Wallstent for portal vein stenosis and thrombosis after liver transplantation.

Intraoperative placement of a Wallstent for portal vein stenosis and thrombosis after liver transplantation.

We report a case of orthotopic liver transplantation, in which portal vein thrombosis developed in the immediate postoperative period. Surgical thrombectomy and intraoperative placement of a large caliber Wallstent resulted in long-term patency. The unique feature of this case is the intraoperative placement of the stent via the inferior mesenteric vein under fluoroscopic guidance. The use of a large caliber (16 mm) stent obviated the need for postoperative anticoagulation.

[1] G. Everson,et al. Portal vein thrombolysis and closure of competitive shunts following liver transplantation. , 1994, Journal of vascular and interventional radiology : JVIR.

[2] B. Davidson,et al. Incidence, risk factors, management, and outcome of portal vein abnormalities at orthotopic liver transplantation. , 1994, Transplantation.

[3] J. Reyes,et al. Percutaneous transluminal angioplasty of venous anastomotic stenoses complicating liver transplantation: intermediate-term results. , 1994, Journal of vascular and interventional radiology : JVIR.

[4] A. Naji,et al. Treatment of portal vein thrombosis after liver transplantation with percutaneous thrombolysis and stent placement. , 1993, Journal of vascular and interventional radiology : JVIR.

[5] T. Starzl,et al. The spectrum of portal vein thrombosis in liver transplantation. , 1991, Annals of surgery.

[6] J. Najarian,et al. Orthotopic liver transplantation: nonoperative management of early, acute portal vein thrombosis. , 1988, Surgery.