Portal vein stenting the first day after orthotopic liver transplantation for residual postthrombotic stenosis compromising portal flow

被引：0
作者：
Feilitzsch, M. V. [1 ]
Koenigsrainer, A. [1 ]
Wiskirchen, J. [2 ]
Witte, M. [1 ]
Steurer, W. [1 ]
机构：
[1] Univ Tubingen, Univ Tubingen Hosp, Dept Gen Visceral & Transplant Surg, D-72076 Tubingen, Germany
[2] Univ Tubingen, Univ Tubingen Hosp, Dept Intervent Radiol, D-72076 Tubingen, Germany
来源：
LANGENBECKS ARCHIVES OF SURGERY | 2009年 / 394卷 / 03期
关键词：
Liver transplantation; Portal hypoperfusion; Early stenting; RISK-FACTORS; THROMBOSIS; MANAGEMENT; THROMBECTOMY; PLACEMENT; ADULTS;
D O I：
10.1007/s00423-008-0457-5
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Early portal vein impairment or thrombosis after liver transplantation is a significant risk factor for graft failure. Here, we describe a case of severe portal hypoperfusion after thrombectomy during liver transplantation that was treated with percutaneous stenting on the first postoperative day. Stenting was combined with embolization of varices and normalized portal inflow. Liver function and portal flow were normal after 1 year of follow-up. This case demonstrates that percutaneous stenting is a safe and feasible therapeutic option even in the initial days after liver transplantation.
引用
收藏
页码：569 / 571
页数：3
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