Successful percutaneous pulse spray thrombolysis of extensive acute portocaval hemitransposition thrombosis

Hani H. Haider, Tatiana Froud, Jang Moon, Gennaro Selvaggi, Seigo Nishida, Pablo Bejarano, Andreas G. Tzakis

Research output: Contribution to journalArticle

3 Scopus citations


We report a case of extensive acute thrombosis of portal vein and cava in a portocaval hemitransposition liver graft that was treated successfully with percutaneous pulse spray thrombolysis through a femoral vein access. The patient subsequently developed descending and sigmoid colon ischemic necrosis because of the venous thrombosis necessitating emergency colon resection. The patient had prolonged postoperative intensive care stay, but was eventually discharged in a good condition with normal liver function. Three month follow up demonstrated persistent normalization of hepatic function and normal duplex ultrasound.

Original languageEnglish (US)
Pages (from-to)941-944
Number of pages4
JournalTransplant International
Issue number11
StatePublished - Nov 1 2006



  • Portocaval hemitransposition thrombosis
  • Pulse spray thrombolysis

ASJC Scopus subject areas

  • Transplantation

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