Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient

Portal vein thrombosis was historically considered a contraindication for liver transplantation. However, recent technical advancements have enabled surgeons to manage this complication through various innovative approaches. One such technique is portocaval hemitransposition, particularly applicable...

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Main Authors: Saurabh Kumar, Apoorva Batra, Kausar Makki, Vivek Vij
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd.
Series:Journal of Clinical Interventional Radiology ISVIR
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810006
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author Saurabh Kumar
Apoorva Batra
Kausar Makki
Vivek Vij
author_facet Saurabh Kumar
Apoorva Batra
Kausar Makki
Vivek Vij
author_sort Saurabh Kumar
collection DOAJ
description Portal vein thrombosis was historically considered a contraindication for liver transplantation. However, recent technical advancements have enabled surgeons to manage this complication through various innovative approaches. One such technique is portocaval hemitransposition, particularly applicable in cases of extensive porto-splanchnic thrombosis. This procedure involves utilizing the recipient's inferior vena cava to perfuse the portal vein of the liver graft. We report a case of acute thrombosis of a portocaval hemitransposition graft that was successfully managed with catheter-directed thrombolysis, angioplasty, and stent placement.
format Article
id doaj-art-acb3bbe935b54f8dbfa65caea6bd54bf
institution DOAJ
issn 2456-4869
language English
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Journal of Clinical Interventional Radiology ISVIR
spelling doaj-art-acb3bbe935b54f8dbfa65caea6bd54bf2025-08-20T02:46:02ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-486910.1055/s-0045-1810006Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant RecipientSaurabh Kumar0https://orcid.org/0000-0003-3927-0502Apoorva Batra1Kausar Makki2Vivek Vij3Department of Interventional Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, IndiaDepartment of Interventional Radiology, Fortis Memorial Research Institute, Gurugram, Haryana, IndiaDepartment of Liver Transplant and Hepatobiliary Surgery, Fortis Memorial Research Institute, Gurugram, Haryana, IndiaDepartment of Liver Transplant and Hepatobiliary Surgery, Fortis Memorial Research Institute, Gurugram, Haryana, IndiaPortal vein thrombosis was historically considered a contraindication for liver transplantation. However, recent technical advancements have enabled surgeons to manage this complication through various innovative approaches. One such technique is portocaval hemitransposition, particularly applicable in cases of extensive porto-splanchnic thrombosis. This procedure involves utilizing the recipient's inferior vena cava to perfuse the portal vein of the liver graft. We report a case of acute thrombosis of a portocaval hemitransposition graft that was successfully managed with catheter-directed thrombolysis, angioplasty, and stent placement.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810006portocaval hemitranspositionportal vein thrombosisliver transplantation
spellingShingle Saurabh Kumar
Apoorva Batra
Kausar Makki
Vivek Vij
Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient
Journal of Clinical Interventional Radiology ISVIR
portocaval hemitransposition
portal vein thrombosis
liver transplantation
title Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient
title_full Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient
title_fullStr Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient
title_full_unstemmed Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient
title_short Endovascular Recanalization of a Thrombosed Portocaval Hemitransposition Graft in a Liver Transplant Recipient
title_sort endovascular recanalization of a thrombosed portocaval hemitransposition graft in a liver transplant recipient
topic portocaval hemitransposition
portal vein thrombosis
liver transplantation
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810006
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AT apoorvabatra endovascularrecanalizationofathrombosedportocavalhemitranspositiongraftinalivertransplantrecipient
AT kausarmakki endovascularrecanalizationofathrombosedportocavalhemitranspositiongraftinalivertransplantrecipient
AT vivekvij endovascularrecanalizationofathrombosedportocavalhemitranspositiongraftinalivertransplantrecipient