TY - JOUR
T1 - Transjugular intrahepatic portosystemic shunt for maintenance of portal venous patency in liver transplant candidates
AU - Gaba, Ron
AU - Parvinian, Ahmad
PY - 2013
Y1 - 2013
N2 - Maintenance of portal venous patency is vital to liver transplant candidates, as the presence of portal vein thrombosis (PVT) adversely impacts clinical outcomes by increasing surgical complexity and decreasing postoperative survival. By enhancing portal venous blood flow, transjugular intrahepatic portosystemic shunt (TIPS) creation may enable clearance of PVT and preservation of portal venous patency in cirrhotic patients. Herein, we describe four cases in which TIPS produced and sustained an open portal venous system in liver transplant candidates with partial PVT. All patients demonstrated rapid and effective flow-enabled clearance of clot and intermediate to long-term preservation of portal venous flow. On this basis, we propose that maintenance of portal venous patency in liver transplant candidates with partial PVT represents a developing indication for TIPS.
AB - Maintenance of portal venous patency is vital to liver transplant candidates, as the presence of portal vein thrombosis (PVT) adversely impacts clinical outcomes by increasing surgical complexity and decreasing postoperative survival. By enhancing portal venous blood flow, transjugular intrahepatic portosystemic shunt (TIPS) creation may enable clearance of PVT and preservation of portal venous patency in cirrhotic patients. Herein, we describe four cases in which TIPS produced and sustained an open portal venous system in liver transplant candidates with partial PVT. All patients demonstrated rapid and effective flow-enabled clearance of clot and intermediate to long-term preservation of portal venous flow. On this basis, we propose that maintenance of portal venous patency in liver transplant candidates with partial PVT represents a developing indication for TIPS.
KW - Liver transplant
KW - portal vein thrombosis
KW - transjugular intrahepatic portosystemic shunt
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U2 - 10.4103/2156-7514.115761
DO - 10.4103/2156-7514.115761
M3 - Article
AN - SCOPUS:84903814962
SN - 2156-7514
VL - 3
JO - Journal of Clinical Imaging Science
JF - Journal of Clinical Imaging Science
IS - 1
M1 - 115761
ER -