Direct transmesenteric venous interventions in the acute post liver transplant setting

Keshav Anand; Luis Garza; Glenn Halff; Tarunjeet Klair; Francisco Cigarroa; Rajeev Suri; Jorge Lopera

doi:10.1016/j.jimed.2020.09.001

Direct transmesenteric venous interventions in the acute post liver transplant setting

J Interv Med. 2020 Sep 8;4(1):46-48. doi: 10.1016/j.jimed.2020.09.001. eCollection 2021 Feb.

Authors

Keshav Anand¹, Luis Garza¹, Glenn Halff¹, Tarunjeet Klair¹, Francisco Cigarroa¹, Rajeev Suri¹, Jorge Lopera¹

Affiliation

¹ UT Health San Antonio Long School of Medicine, 7703 Floyd Curl Dr, San Antonio, TX, 78229, USA.

Abstract

Introduction: Portal venous thrombosis and stenosis are uncommon but serious causes of liver transplant graft failure. While surgical thrombectomy can be utilized for the treatment of portal steno-occlusive disease, venous interventions with IR have been performed with encouraging results.

Case description: 69-year-old female with non-alcoholic steatohepatitis cirrhosis who received a liver transplant complicated by portal vein thrombus. Efforts between transplant surgery and IR allowed for successful thrombus removal via direct SMV access.

Results: The advantages of direct SMV access with the surgery team include direct approach to accessing thrombus, sparing of liver parenchyma, and significant hemostatic control.

Publication types

Case Reports