Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 3/2006

01-06-2006

Endovascular Treatment of Acute Portal Vein Thrombosis After Liver Transplantation in a Child

Authors: Francisco Cesar Carnevale, Marcus Vinicius Borges, Airton Mota Moreira, Giovanni Guido Cerri, João Gilberto Maksoud

Published in: CardioVascular and Interventional Radiology | Issue 3/2006

Login to get access

Abstract

Although operative techniques in hepatic transplantation have reduced the time and mortality on waiting lists, the rate of vascular complications associated with these techniques has increased. Stenosis or thrombosis of the portal vein is an infrequent complication, and if present, surgical treatment is considered the traditional management. This article describes a case of acute portal vein thrombosis after liver transplantation from a living donor to a child managed by percutaneous techniques.
Literature
1.
go back to reference Wosney P, Zajko AB, Bron KM, et al. (1986) Vascular complications after liver transplantation: A 5-year experience. Am J Roentgenol 147:657–663 Wosney P, Zajko AB, Bron KM, et al. (1986) Vascular complications after liver transplantation: A 5-year experience. Am J Roentgenol 147:657–663
2.
go back to reference Zajko AB, Claus D, Clapuyt P, et al. (1989) Obstruction to hepatic venous drainage after liver transplantation: treatment with ballon angioplasty. Radiology 170:763–765PubMed Zajko AB, Claus D, Clapuyt P, et al. (1989) Obstruction to hepatic venous drainage after liver transplantation: treatment with ballon angioplasty. Radiology 170:763–765PubMed
3.
go back to reference Emond JC, Whittington PF, Alonso et al. (1989) Reduced-size orthotopic liver transplantation: use in the management of children with chronic liver disease. Hepatology 10:867–872PubMed Emond JC, Whittington PF, Alonso    et al. (1989) Reduced-size orthotopic liver transplantation: use in the management of children with chronic liver disease. Hepatology 10:867–872PubMed
4.
go back to reference Sindhi R, Rosendale J, Mundy D, et al. (1999) Impact of segmental grafts on pediatric liver transplantation: A review of the United Network for Organ Sharing Scientific Registry Data (1990–96). J Pediatr Surg 34:107–111PubMedCrossRef Sindhi R, Rosendale J, Mundy D, et al. (1999) Impact of segmental grafts on pediatric liver transplantation: A review of the United Network for Organ Sharing Scientific Registry Data (1990–96). J Pediatr Surg 34:107–111PubMedCrossRef
5.
go back to reference Goss JÁ, Shackleton CR, McDiamid SV, et al. (1998) Long-term results of pediatric liver transplantation: an analysis of 569 transplants. Ann Surg 228:411PubMedCrossRef Goss JÁ, Shackleton CR, McDiamid SV, et al. (1998) Long-term results of pediatric liver transplantation: an analysis of 569 transplants. Ann Surg 228:411PubMedCrossRef
6.
go back to reference Broelsch CE, Whittington PF, Emond JC, et al. (1991) Liver transplantation in children from living related donors: Surgical techniques and results. Ann Surg 214:428–439PubMed Broelsch CE, Whittington PF, Emond JC, et al. (1991) Liver transplantation in children from living related donors: Surgical techniques and results. Ann Surg 214:428–439PubMed
7.
go back to reference Lerut J, Tzakis AG, Bron K, et al. (1987) Complications of venous reconstruction in human orthotopic liver transplantation. Ann Surg 205:404–414PubMed Lerut J, Tzakis AG, Bron K, et al. (1987) Complications of venous reconstruction in human orthotopic liver transplantation. Ann Surg 205:404–414PubMed
8.
go back to reference Rollins NK, Sheffield EG, Andrews WS (1992) Portal vein stenosis complicating liver transplantation in children:percutaneous transhepatic angioplasty. Radiology 182:731–734PubMed Rollins NK, Sheffield EG, Andrews WS (1992) Portal vein stenosis complicating liver transplantation in children:percutaneous transhepatic angioplasty. Radiology 182:731–734PubMed
9.
go back to reference Scantlebury VP, Zajko AB, Esquivel CO, et al. (1989) Successful reconstruction of late portal vein stenosis after hepatic transplantation. Arch Surg 124:503–505PubMed Scantlebury VP, Zajko AB, Esquivel CO, et al. (1989) Successful reconstruction of late portal vein stenosis after hepatic transplantation. Arch Surg 124:503–505PubMed
10.
go back to reference Funaki B, Rosenblum JD, Leef JA, et al. (1995) Portal vein stenosis in children with segmental liver transplants: Treatment with percutaneous transhepatic venoplasty. Am J Roentgenol 165:161–165 Funaki B, Rosenblum JD, Leef JA, et al. (1995) Portal vein stenosis in children with segmental liver transplants: Treatment with percutaneous transhepatic venoplasty. Am J Roentgenol 165:161–165
11.
go back to reference Azoulay AB, Claus D, Clayput P, et al. (1993) A minimally invasive approach to the treatment of the portal vein after hepatic transplantation. Surg Gynecol Obstet 176:599–601PubMed Azoulay AB, Claus D, Clayput P, et al. (1993) A minimally invasive approach to the treatment of the portal vein after hepatic transplantation. Surg Gynecol Obstet 176:599–601PubMed
12.
go back to reference Bilbao JI, Ruza M, Longo JM, et al. (1994) Percutaneous transhepatic stenting by Wallstents of portal vein and bile duct stenoses caused by immunoblastic sarcoma in a liver transplantation. Cardiovasc Intervent Radiol 17:210–213PubMed Bilbao JI, Ruza M, Longo JM, et al. (1994) Percutaneous transhepatic stenting by Wallstents of portal vein and bile duct stenoses caused by immunoblastic sarcoma in a liver transplantation. Cardiovasc Intervent Radiol 17:210–213PubMed
13.
go back to reference Uflacker R, Alves MA, Cantisani GG, et al. (1985) LF treatment of portal vein obstruction by percutaneous transhepatic angioplasty. Gastroenterology 88:176–180PubMed Uflacker R, Alves MA, Cantisani GG, et al. (1985) LF treatment of portal vein obstruction by percutaneous transhepatic angioplasty. Gastroenterology 88:176–180PubMed
14.
go back to reference Raby N, Karani J, Thomas S, et al. (1991) Stenoses of vascular anastomoses after hepatic transplantation: treatment with ballon angioplasty. Am J Roentgenol 157:167–171 Raby N, Karani J, Thomas S, et al. (1991) Stenoses of vascular anastomoses after hepatic transplantation: treatment with ballon angioplasty. Am J Roentgenol 157:167–171
15.
go back to reference Mathias K, Bolder U, Löhlein D, et al. (1993) Percutaneous transhepatic angioplasty and stent implantation for prehepatic portal vein obstruction. Cardiovasc Interven Radiol 16:313–315 Mathias K, Bolder U, Löhlein D, et al. (1993) Percutaneous transhepatic angioplasty and stent implantation for prehepatic portal vein obstruction. Cardiovasc Interven Radiol 16:313–315
16.
go back to reference Dagenais M, Pomier-Layrargues G, Dufresne MP, et al. (1994) Transhepatic portal vein stenting for treatment of ruptured duodenopancreatic varices in a patient with chronic pancreatitis. Surgery 115:669–673PubMed Dagenais M, Pomier-Layrargues G, Dufresne MP, et al. (1994) Transhepatic portal vein stenting for treatment of ruptured duodenopancreatic varices in a patient with chronic pancreatitis. Surgery 115:669–673PubMed
17.
go back to reference Cwikiel W, Solvig J, Schroder H. (2000) Stent recanalization of chronic portal vein occlusion in a child. Cardiovasc Intervent Radiol. 23(4):309–311PubMed Cwikiel W, Solvig J, Schroder H. (2000) Stent recanalization of chronic portal vein occlusion in a child. Cardiovasc Intervent Radiol. 23(4):309–311PubMed
18.
go back to reference Bilbao JI, Vivas I, Elduayen B, et al. (1999) Limitations of percutaneous techniques in the treatment of portal vein thrombosis. Cardiovasc Intervent Radiol 22(5):417–422PubMedCrossRef Bilbao JI, Vivas I, Elduayen B, et al. (1999) Limitations of percutaneous techniques in the treatment of portal vein thrombosis. Cardiovasc Intervent Radiol 22(5):417–422PubMedCrossRef
Metadata
Title
Endovascular Treatment of Acute Portal Vein Thrombosis After Liver Transplantation in a Child
Authors
Francisco Cesar Carnevale
Marcus Vinicius Borges
Airton Mota Moreira
Giovanni Guido Cerri
João Gilberto Maksoud
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-005-0046-8

Other articles of this Issue 3/2006

CardioVascular and Interventional Radiology 3/2006 Go to the issue