Top

Published in:

01-07-2017 | Case Report

Transsplenic endovascular recanalization and stenting of a completely occluded portal vein with jejunal variceal embolization in a pediatric liver transplant recipient

Authors: Jeffrey Forris Beecham Chick, Alexandria Jo, Narasimham Dasika, Wael E. Saad, Ravi Nara Srinivasa

Published in: Pediatric Radiology | Issue 8/2017

Abstract

Portal vein thrombosis occurs in 1.4% of pediatric liver transplant candidates and 3.7% of liver transplant recipients. While portal vein recanalization without and with portal vein stenting has been described in adult transplant candidates and recipients, it has never been described in the pediatric transplant population. This report presents a pediatric liver transplant recipient with portal hypertension secondary to portal vein thrombosis successfully managed with transsplenic access and subsequent portal vein recanalization and stenting.

Waits SA, Wojcik BM, Cai S et al (2011) Portal vein thrombosis and outcomes for pediatric liver transplant candidates and recipients in the United States. Liver Transpl 17:1066–1072PubMedPubMedCentral

Jensen MK, Campbell KM, Alonso MH et al (2013) Management and long-term consequences of portal vein thrombosis after liver transplantation in children. Liver Transpl 19:315–321CrossRefPubMed

Habib A, Desai K, Hickey R et al (2015) Portal vein recanalization-transjugular intrahepatic portosystemic shunt using the transsplenic approach to achieve transplant candidacy in patients with chronic portal vein thrombosis. J Vasc Interv Radiol 26:499–506CrossRefPubMed

Woodrum DA, Bjarnason H, Andrews JC (2009) Portal vein venoplasty and stent placement in the nontransplant population. J Vasc Interv Radiol 20:593–599CrossRefPubMed

Bertram H, Pfister ED, Becker T et al (2010) Transsplenic endovascular therapy of portal vein stenosis and subsequent complete portal vein thrombosis in a 2-year-old child. J Vasc Interv Radiol 21:1760–1764CrossRefPubMed

Title: Transsplenic endovascular recanalization and stenting of a completely occluded portal vein with jejunal variceal embolization in a pediatric liver transplant recipient
Authors: Jeffrey Forris Beecham Chick
Alexandria Jo
Narasimham Dasika
Wael E. Saad
Ravi Nara Srinivasa
Publication date: 01-07-2017
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Radiology / Issue 8/2017
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-017-3850-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transsplenic endovascular recanalization and stenting of a completely occluded portal vein with jejunal variceal embolization in a pediatric liver transplant recipient

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2017

Multiple long bone cysts revealed by MRI in trichorhinophalangeal syndrome type II predisposing to pathological fractures

Experience with the use of propofol for radiologic imaging in infants younger than 6 months of age

Real-time fluoroscopic needle guidance in the interventional radiology suite using navigational software for percutaneous bone biopsies in children

Radiologic head CT interpretation errors in pediatric abusive and non-abusive head trauma patients

Imaging of the pediatric peritoneum, mesentery and omentum

Can ultrasound be used as the primary imaging in children with suspected Crohn disease?