Improved Results of Liver Transplantation in Patients With Portal Vein Thrombosis

Abstract

Thromboendovenectomy is the procedure of choice for PVT. Results of liver transplantation in patients with PVT improve significantly with experience gained and are equivalent to results in patients without PVT.

Single center experience of 39 patients with preoperative portal vein thrombosis among 404 adult living donor liver transplantations

“…19,20 The operative blood loss in our adult patients with PVT was significantly greater than that of our adult patients without PVT. In our series, blood loss was significantly related to the occlusive degree of PVT.…”

Cavoportal transposition for portal vein thrombosis in a pediatric living-related liver transplantation

“…An 8 P ortal vein thrombosis (PVT) is present in 3.2% to 13.8% of patients at the time of liver transplantation (LT). 1 It can usually be managed intraoperatively by one of a variety of reconstructive techniques. [1][2][3][4] The choices include thromboendovenectomy, venous jump grafts, and use of collateral veins to revascularize the liver with portal venous blood.…”

“…1 It can usually be managed intraoperatively by one of a variety of reconstructive techniques. [1][2][3][4] The choices include thromboendovenectomy, venous jump grafts, and use of collateral veins to revascularize the liver with portal venous blood. In a small proportion of patients, occlusion of the portal, splenic, and superior mesenteric veins may make portal inflow to the graft impossible.…”

Paraumbilical collateral veins on MRI as possible protection against portal venous thrombosis in candidates for liver transplantation

“…However, massive shunting away from the liver in later stages is associated with reduced PV caliber or with portal thrombosis, both of which can complicate OLT, particularly if not detected preoperatively [14,22]. The incidence of PV thrombosis varies according to the characteristics of the patients evaluated, ranging from 0.6 to 16.6% [23][24][25][26].…”