Treatment of Inferior Vena Cava Anastomotic Stenoses with the Wallstent Endoprosthesis after Orthotopic Liver Transplantation

Borsa, John J.; Daly, Charles P.; Fontaine, Arthur B.; Patel, Nilesh H.; Althaus, Sandra J.; Hoffer, Eric K.; Winter, Thomas C.; Nghiem, Hanh V.; McVicar, John P.

doi:10.1016/s1051-0443(99)70003-5

Cited by 69 publications

(53 citation statements)

References 21 publications

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“…The consensus is to oversize the IVC stent by 2 mm to effectively treat the stenosis [4, 5]. Stenting has been proven to be effective in treatment of post-OLT venous stenosis [3, 4, 8–10]. …”

Section: Discussionmentioning

confidence: 99%

Inferior Vena Cava Torsion and Stenosis Complicated by Compressive Pericaval Regional Ascites following Orthotopic Liver Transplantation

Alli

Gilroy

Johnson

2013

Case Reports in Radiology

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Inferior vena cava (IVC) stenosis and torsion are well-described rare complications following orthotopic liver transplantation (OLT). We present a case of inferior vena cava intermittent torsion and stenosis complicated by compressive regional ascites. To the best of our knowledge, this is the second case of post-OLT regional ascites related compressive IVC stenosis reported and the first reported case of torsion complicated by regional ascites compression.

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Section: Discussionmentioning

confidence: 99%

Inferior Vena Cava Torsion and Stenosis Complicated by Compressive Pericaval Regional Ascites following Orthotopic Liver Transplantation

Alli

Gilroy

Johnson

2013

Case Reports in Radiology

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“…Stent placement is indicated for residual or recurrent stenosis but sometimes as primary treatment. 15,16 Figure 3 shows a 56-year-old liver transplant recipient who presented with recurrent ascites due to high-grade stricture at the level of the proximal inferior vena cava accompanied by anastomosis, exending to the hepatic veins. The patient received a venous angioplasty, resulting in significant angiographic and clinical improvement, although her pressure gradient was not significantly changed.…”

Section: Portal Vein Stenosismentioning

confidence: 99%

Untitled

2015

Exp Clin Transplant

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Objectives: Recipients of liver transplant are surviving longer as both the surgical procedure and postsurgical care have improved. Despite improvements, serious complications from the procedure remain that significantly affect patient outcome and may result in retransplant. Refractory ascites is one complication, occurring in about 5.6% of transplant recipients. Management of refractory ascites after liver transplant presents a challenge to the multidisciplinary team caring for these patients. Materials and Methods:We discuss approaches to the diagnosis and treatment of refractory ascites after liver transplant, based on a literature review, with a primary focus on vascular causes. These approaches are illustrated by case examples highlighting our experiences at an academic tertiary medical center. We propose a clinical practice algorithm for optimal endovascular treatment of refractory ascites after liver transplant. Results: The cornerstone of refractory ascites care is diagnosis and treatment of the cause. Vascular causes are not infrequently encountered and, if not treated early, are associated with graft loss and high morbidity and mortality and are major indications for retransplant. For patients with recurrent disease or graft rejection needing large volume paracentesis, the use of a transjugular intrahepatic portosystemic shunt may serve as a bridge to more definitive treatment (retransplant), although it may not be as effective for managing ascites as splenic artery embolization, arguably underused, which is emerging as a potential alternative treatment option. Conclusions: A multidisciplinary strategy for the diagnosis and care of patients with refractory ascites after liver transplant is crucial, with endovascular treatment playing an important role. The aim is for this document to serve as a concise and informative reference to be used by those who may care for patients with this rare yet serious diagnosis.

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“…Percutaneous intervention has been recently accepted as the initial treatment for various liver transplant-related complications such as HVOO (6)(7)(8)(9)(10)(11). Moreover, it has been reported that percutaneous intervention is safe and effective (1,5,6).…”

Section: Introductionmentioning

confidence: 99%

Efficacy and patency of primary stenting for hepatic venous outflow obstruction after living donor liver transplantation

et al. 2016

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Treatment of Inferior Vena Cava Anastomotic Stenoses with the Wallstent Endoprosthesis after Orthotopic Liver Transplantation

Cited by 69 publications

References 21 publications

Inferior Vena Cava Torsion and Stenosis Complicated by Compressive Pericaval Regional Ascites following Orthotopic Liver Transplantation

Inferior Vena Cava Torsion and Stenosis Complicated by Compressive Pericaval Regional Ascites following Orthotopic Liver Transplantation

Untitled

Efficacy and patency of primary stenting for hepatic venous outflow obstruction after living donor liver transplantation

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