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Portal vein stenting the first day after orthotopic liver transplantation for residual postthrombotic stenosis compromising portal flow

  • Case Management and Clinical Consequences
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Abstract

Background

Early portal vein impairment or thrombosis after liver transplantation is a significant risk factor for graft failure.

Case

Here, we describe a case of severe portal hypoperfusion after thrombectomy during liver transplantation that was treated with percutaneous stenting on the first postoperative day. Stenting was combined with embolization of varices and normalized portal inflow.

Result

Liver function and portal flow were normal after 1 year of follow-up.

Conclusion

This case demonstrates that percutaneous stenting is a safe and feasible therapeutic option even in the initial days after liver transplantation.

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Authors and Affiliations

  1. Department of General, Visceral and Transplant Surgery, Tübingen University Hospital, Eberhard Karls University Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany

    M. v. Feilitzsch, A. Königsrainer, M. Witte & W. Steurer

  2. Department of Interventional Radiology, Tübingen University Hospital, Eberhard Karls University Tübingen, Hoppe-Seyler-Str.3, 72076, Tübingen, Germany

    J. Wiskirchen

Authors
  1. M. v. Feilitzsch
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  2. A. Königsrainer
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  3. J. Wiskirchen
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  4. M. Witte
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  5. W. Steurer
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Corresponding author

Correspondence to A. Königsrainer.

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Feilitzsch, M.v., Königsrainer, A., Wiskirchen, J. et al. Portal vein stenting the first day after orthotopic liver transplantation for residual postthrombotic stenosis compromising portal flow. Langenbecks Arch Surg 394, 569–571 (2009). https://doi.org/10.1007/s00423-008-0457-5

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  • DOI: https://doi.org/10.1007/s00423-008-0457-5

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