Endovascular transsplenic recanalization with angioplasty and stenting of an occluded main portal vein in an adult liver transplant recipient

Authors

Mason Brown, Advocate Aurora HealthFollow
Laurence Donahue, Advocate Aurora HealthFollow
Sebouh Gueyikian, Advocate Aurora HealthFollow
Jiahao Hu, Advocate Aurora HealthFollow
Steven Huffman, Advocate Aurora HealthFollow

Recommended Citation

Brown MA, Donahue L, Gueyikian S, Hu J, Huffman S. Endovascular transsplenic recanalization with angioplasty and stenting of an occluded main portal vein in an adult liver transplant recipient. Radiol Case Rep. 2020;15(5):615-623. doi: 10.1016/j.radcr.2020.02.026.

Affiliations

Department of Diagnostic Radiology, Department of Interventional Radiology, Aurora St. Luke's Medical Center

Abstract

Endovascular transshepatic access has limitations that can be exacerbated in the posttransplantation setting. Although several techniques are available for portal venous system catheterization, the transsplenic approach offers a direct pathway for accessing the portal venous system, as well as associated varices or shunts, while avoiding potential injury to the liver transplant. The purpose of this report is to present the diagnostic and interventional management of main portal vein occlusion in a 56-year-old female after liver transplantation. Endovascular transsplenic recanalization with stenting and shunt embolization is a viable method for treatment of main portal vein thrombosis in an adult liver transplant recipient.

Document Type

Article

PubMed ID

32256922