{"title":"Portal vein stent to save the day.","authors":"Panagiotis Grigoropoulos, Vasilina Tsemelidi, Orfeas Varvarelis, Antonios Vezakis, Achilles Chatziioannou, Miltiadis Krokidis","doi":"10.1186/s42155-025-00586-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Post-operative portal vein stenosis/occlusion is a relatively common and life-threatening condition. Clinical outcomes depend on the early diagnosis and the appropriate management.</p><p><strong>Case presentation: </strong>A 78-year-old female developed portal vein high grade stenosis after resection of an ampullary cholangiocarcinoma. The patient presented with acute liver failure and impaired coagulation function. Imaging confirmed transient ischemic changes of the hepatic parenchyma. Salvage attempt with a portal venous stent was decided to prevent irreversible liver damage. The procedure was successful with a satisfactory clinical outcome.</p><p><strong>Conclusions: </strong>The paper offers a summary of the clinical benefit from percutaneous portal venous stent placement in case of post operative high grade portal vein stenosis in a patient with acute liver failure.</p>","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"8 1","pages":"69"},"PeriodicalIF":1.5000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397468/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"CVIR Endovascular","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s42155-025-00586-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
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Abstract
Background: Post-operative portal vein stenosis/occlusion is a relatively common and life-threatening condition. Clinical outcomes depend on the early diagnosis and the appropriate management.
Case presentation: A 78-year-old female developed portal vein high grade stenosis after resection of an ampullary cholangiocarcinoma. The patient presented with acute liver failure and impaired coagulation function. Imaging confirmed transient ischemic changes of the hepatic parenchyma. Salvage attempt with a portal venous stent was decided to prevent irreversible liver damage. The procedure was successful with a satisfactory clinical outcome.
Conclusions: The paper offers a summary of the clinical benefit from percutaneous portal venous stent placement in case of post operative high grade portal vein stenosis in a patient with acute liver failure.
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