Interventional treatment should be incorporated in the algorithm for the management of patients with portal vein thrombosis

Hepatology ◽  
2008 ◽  
Vol 48 (4) ◽  
pp. 1352-1353 ◽  
Author(s):  
Marco Senzolo ◽  
David Patch ◽  
Diego Miotto ◽  
Cecilia Ferronato ◽  
Evangelos Cholongitas ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Interventional Treatment ◽  
Vein Thrombosis

scholarly journals Interventional Treatment of Severe Portal Vein Thrombosis after Living-Donor Liver Transplantation

2016 ◽  
Vol 83 (5) ◽  
pp. 206-210 ◽  
Author(s):  
Youichi Kawano ◽  
Satoru Murata ◽  
Nobuhiko Taniai ◽  
Masato Yoshioka ◽  
Atsushi Hirakata ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Interventional Treatment ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Vein Thrombosis

scholarly journals Interventional treatment with the Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure may offer a preferable alternative to systemic anticoagulation in patients with cirrhosis and portal vein thrombosis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Molly N Pantelic
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Controlled Trial ◽  
Anticoagulation Therapy ◽  
Clinical Decision ◽  
Interventional Treatment ◽  
Gastroesophageal Varices ◽  
Vein Thrombosis ◽  
Randomized Controlled ◽  
Intrahepatic Portosystemic Shunt

A clinical decision report appraising: Wang Z, Jiang MS, Zhang HL, et al. Is post-tips anticoagulation therapy necessary in patients with cirrhosis and portal vein thrombosis? A randomized controlled trial. Radiology. 2016;279(3):943-951. https://doi.org/10.1148/radiol.2015150369 for a patient with cryptogenic cirrhosis, gastroesophageal varices, pancreatic cancer, and portal vein thrombosis.

Ultrasound Imaging and Interventional Treatment of Portal Vein Thrombosis

2013 ◽  
Vol 8 (2) ◽  
pp. 237-247 ◽  
Author(s):  
Katherine Kaproth-Joslin ◽  
Ashwani K. Sharma ◽  
Deborah J. Rubens
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Ultrasound Imaging ◽  
Interventional Treatment ◽  
Vein Thrombosis

scholarly journals A prospective, multicentre study in acute non-cirrhotic, non-malignant portal vein thrombosis: comparison of medical and interventional treatment

2020 ◽  
Vol 52 (2) ◽  
pp. 329-339 ◽  
Author(s):  
Martin Rössle ◽  
Dominik Bettinger ◽  
Jonel Trebicka ◽  
Christoph Klinger ◽  
Michael Praktiknjo ◽  
...  
Keyword(s):  
Portal Vein ◽  
Multicentre Study ◽  
Portal Vein Thrombosis ◽  
Interventional Treatment ◽  
Vein Thrombosis ◽  
Prospective Multicentre Study

scholarly journals Interventional Treatment of Acute Portal Vein Thrombosis

2018 ◽  
Vol 190 (08) ◽  
pp. 740-746 ◽  
Author(s):  
Karsten Wolter ◽  
Georges Decker ◽  
Daniel Kuetting ◽  
Jonel Trebicka ◽  
Steffen Manekeller ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Interventional Procedures ◽  
Interventional Procedure ◽  
Rapid Onset ◽  
Interventional Treatment ◽  
Vein Thrombosis ◽  
Catheter Technique ◽  
Local Lysis

Background Acute portal vein thrombosis is a potentially fatal condition. In symptomatic patients not responding to systemic anticoagulation, interventional procedures have emerged as an alternative to surgery. This study sought to retrospectively evaluate initial results of interventional treatment of acute portal vein thrombosis (aPVT) using a transjugular interventional approach. Materials and Methods Between 2014 and 2016, 11 patients were treated because of aPVT (male: 7; female: 4; mean age: 41.06 years). All patients presented a rapid onset of symptoms without collateralization of portal flow as assessed by a CT scan at the time of admittance. The patients showed thrombotic occlusion of the main portal vein (11/11), the lienal vein (10/11) and the superior mesenteric vein (10/11). Different techniques for recanalization were employed: catheter thromboaspiration (1/9), AngioJet device (7/9), local-lysis-only (1/9) and TIPSS (7/9). Local lysis was administered using a dual (4/9) or single (5/9) catheter technique. The mean follow-up was 24.32 months. Results In 9 patients transhepatic access was successful. Initially reduction of thrombus load and recanalization were achieved in all 9 cases with residual thrombi in PV (n = 3), SMV (n = 7), and IL (n = 5). In the collective undergoing interventional procedures (n = 9) rethrombosis and continuous abdominal pain were seen in one patient, and thrombus progression after successful recanalization was seen in another. Freedom from symptoms could be achieved in 6 patients. One patient developed peritoneal and pleural effusion, respiratory insufficiency and portosystemic collaterals. Both patients who could not undergo an interventional procedure developed a cavernous transformation of the portal vein. One of them also had continuous intermittent abdominal pain. Conclusion Interventional percutaneous approaches are able to improve patient outcome in patients with aPVT. It appears to be of utmost importance to not only remove/reduce the thrombotic material but to establish sufficient inflow and outflow by TIPS and simultaneous multi-catheter thrombolysis. Key Points:  Citation Format

Anticoagulation in non-malignant portal vein thrombosis is associated with improved hepatic function

2017 ◽  
Vol 55 (05) ◽  
pp. e28-e56
Author(s):  
B Scheiner ◽  
P Stammet ◽  
S Pokorny ◽  
T Bucsics ◽  
P Schwabl ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Hepatic Function ◽  
Vein Thrombosis

A Protein S Deficient Family with Portal Vein Thrombosis

1985 ◽  
Vol 54 (03) ◽  
pp. 724-724 ◽  
Author(s):  
Géza Sas ◽  
György Blaskó ◽  
Iván Petrö ◽  
John H Griffin
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Protein S ◽  
Vein Thrombosis
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