Abstract
Portal vein thrombosis (PVT) is a potential complication of cirrhosis and can worsen outcomes after liver transplant (LT). Portal vein reconstruction–transjugular intrahepatic portosystemic shunt (PVR-TIPS) can restore flow through the portal vein (PV) and facilitate LT by avoiding complex vascular conduits. We present a case of transsplenic PVR-TIPS in the setting of complete PVT and splenic vein (SV) thrombosis. The patient had a 3-year history of PVT complicated by abdominal pain, ascites, and paraesophageal varices. A SV tributary provided access to the main SV and was punctured percutaneously under ultrasound scan guidance. PV access, PV and SV venoplasty, and TIPS placement were successfully performed without complex techniques. The patient underwent LT with successful end-to-end anastomosis of the PVs. Our case suggests transsplenic PVR-TIPS to be a safe and effective alternative to conventional PVR-TIPS in patients with PVT and SV thrombosis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 186-189 |
| Number of pages | 4 |
| Journal | Radiology Case Reports |
| Volume | 11 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 1 2016 |
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Keywords
- Portal vein reconstruction
- Thrombosis
- TIPS
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Transsplenic portal vein reconstruction–transjugular intrahepatic portosystemic shunt in a patient with portal and splenic vein thrombosis. / Salsamendi, Jason; Gortes, Francisco J.; Shnayder, Michelle; Doshi, Mehul; Fan, Ji; Narayanan, Govindarajan.
In: Radiology Case Reports, Vol. 11, No. 3, 01.09.2016, p. 186-189.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Transsplenic portal vein reconstruction–transjugular intrahepatic portosystemic shunt in a patient with portal and splenic vein thrombosis
AU - Salsamendi, Jason
AU - Gortes, Francisco J.
AU - Shnayder, Michelle
AU - Doshi, Mehul
AU - Fan, Ji
AU - Narayanan, Govindarajan
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Portal vein thrombosis (PVT) is a potential complication of cirrhosis and can worsen outcomes after liver transplant (LT). Portal vein reconstruction–transjugular intrahepatic portosystemic shunt (PVR-TIPS) can restore flow through the portal vein (PV) and facilitate LT by avoiding complex vascular conduits. We present a case of transsplenic PVR-TIPS in the setting of complete PVT and splenic vein (SV) thrombosis. The patient had a 3-year history of PVT complicated by abdominal pain, ascites, and paraesophageal varices. A SV tributary provided access to the main SV and was punctured percutaneously under ultrasound scan guidance. PV access, PV and SV venoplasty, and TIPS placement were successfully performed without complex techniques. The patient underwent LT with successful end-to-end anastomosis of the PVs. Our case suggests transsplenic PVR-TIPS to be a safe and effective alternative to conventional PVR-TIPS in patients with PVT and SV thrombosis.
AB - Portal vein thrombosis (PVT) is a potential complication of cirrhosis and can worsen outcomes after liver transplant (LT). Portal vein reconstruction–transjugular intrahepatic portosystemic shunt (PVR-TIPS) can restore flow through the portal vein (PV) and facilitate LT by avoiding complex vascular conduits. We present a case of transsplenic PVR-TIPS in the setting of complete PVT and splenic vein (SV) thrombosis. The patient had a 3-year history of PVT complicated by abdominal pain, ascites, and paraesophageal varices. A SV tributary provided access to the main SV and was punctured percutaneously under ultrasound scan guidance. PV access, PV and SV venoplasty, and TIPS placement were successfully performed without complex techniques. The patient underwent LT with successful end-to-end anastomosis of the PVs. Our case suggests transsplenic PVR-TIPS to be a safe and effective alternative to conventional PVR-TIPS in patients with PVT and SV thrombosis.
KW - Portal vein reconstruction
KW - Thrombosis
KW - TIPS
UR - http://www.scopus.com/inward/record.url?scp=84991766036&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84991766036&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2016.05.014
DO - 10.1016/j.radcr.2016.05.014
M3 - Article
AN - SCOPUS:84991766036
VL - 11
SP - 186
EP - 189
JO - Radiology Case Reports
JF - Radiology Case Reports
SN - 1930-0433
IS - 3
ER -