Portal Vein Thrombosis in Patients Undergoing Orthotopic Liver Transplantation: Intraoperative Endovascular Radiological Procedures

Liver transplantation in adult patients with portal vein thrombosis: risk factors, management and outcome

“…Better patient selection and the use of the renoportal hemitransposition have demonstrated long‐term survival 18, 19. Recently, endovascular techniques during LTx have shown their value in solving some liver graft perfusion problems in patients with PVT grades 3 or 4 20, 21.…”

Portal vein thrombosis, cirrhosis, and liver transplantation

“…Again, if the blood flow to the donor's portal vein is not optimal, large portosystemic shunts may be ligated. Endovascular radiological procedures consisting in the identification and embolization of large shunts with coils have been proposed as an alternative to surgical ligation [55]. Eventually, it has been suggested that the donor's portal vein may be successfully implanted onto collateral vessels [52].…”

Portal hypertension due to portal venous thrombosis: Etiology, clinical outcomes

“…Although either living donor liver transplanation (LDLT) and deceased donor liver transplantation (DDLT) can be performed, it is the experience and ability of the medical care center that should make the final decision about the type of transplantation. In various studies [36][37][38][39][40][41] it has been shown that both surgical techniques (thrombectomy, thromboendvenectomy with venous reconstruction, interposition of vein graft, porto-caval hemitransposition and others) and radiological endovascular interventions can be used to overcome venous obstruction in the recipient [42] . A major drawback about these studies is that most of the patient population is formed of PVT patients who had underlying cirrhosis or hepatocellular cancer.…”