Endovascular Treatment of Venous Outflow and Portal Venous Complications After Liver Transplantation

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2023-12-01 DOI:10.1016/j.tvir.2023.100924

Michael T. Aaberg MD , Carlos E. Marroquin MD , Nima Kokabi MD , Anant D. Bhave MD , Joseph T. Shields MD , Bill S. Majdalany MD, FSIR

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Abstract

Liver transplantation continues to rapidly evolve, and in 2020, 8906 orthotopic liver transplants were performed in the United States. As a technically complex surgery with multiple vascular anastomoses, stenosis and thrombosis of the venous anastomoses are among the recognized vascular complications. While rare, venous complications may be challenging to manage and can threaten the graft and the patient. In the last 20 years, endovascular approaches have been increasingly utilized to treat post-transplant venous complications. Herein, the evaluation and interventional treatment of post-transplant venous outflow complications, portal vein stenosis, portal vein thrombosis, and recurrent portal hypertension with transjugular intrahepatic portosystemic shunt (TIPS) are reviewed.

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肝移植术后静脉流出和门静脉并发症的血管内治疗

肝移植继续快速发展，到2020年，美国共进行了8906例正位肝移植手术。作为一种技术复杂、多血管吻合的手术，静脉吻合口狭窄和血栓形成是公认的血管并发症之一。静脉并发症虽然罕见，但处理起来具有挑战性，可能会威胁到移植物和患者。在过去的 20 年中，越来越多地采用血管内方法治疗移植后静脉并发症。在此，我们将回顾移植后静脉流出并发症、门静脉狭窄、门静脉血栓形成以及经颈静脉肝内门体分流术（TIPS）复发性门静脉高压症的评估和介入治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.

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