Hybrid Management of Acute Portal Vein Thrombosis Complicated by Mesenteric Ischemia

Treatment for portal vein thrombosis complicated by mesenteric ischemia can be treated in the operating room following a hybrid approach. This allows for efficient care of the patient, avoids the need for transhepatic cannulation for obtaining a venogram and placing a thrombolysis catheter, and obviates the need to obtain percutaneous venous access.

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Combined Surgical and Interventional Therapy of Acute Portal Vein Thrombosis without Cirrhosis: A New Effective Hybrid Approach for Recanalization of the Portal Venous System

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2013.11.010 ◽

2014 ◽

Vol 218 (3) ◽

pp. e79-e86 ◽

Cited By ~ 7

Author(s):

Martin Loss ◽

Sven A. Lang ◽

Wibke Uller ◽

Walter A. Wohlgemuth ◽

Hans J. Schlitt

Keyword(s):

Portal Vein ◽

Portal Vein Thrombosis ◽

Hybrid Approach ◽

Interventional Therapy ◽

Venous System ◽

Portal Venous System ◽

Vein Thrombosis

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Successful medical management of acute mesenteric ischemia due to superior mesenteric and portal vein thrombosis in a 27-year-old man with protein S deficiency: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-017-1463-4 ◽

2017 ◽

Vol 11 (1) ◽

Cited By ~ 1

Author(s):

N. P. Osti ◽

D. N. Sah ◽

R. S. Bhandari

Keyword(s):

Case Report ◽

Portal Vein ◽

Portal Vein Thrombosis ◽

Medical Management ◽

Mesenteric Ischemia ◽

Acute Mesenteric Ischemia ◽

Protein S ◽

Protein S Deficiency ◽

Vein Thrombosis ◽

S Deficiency

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Management of Portal and Mesenteric Venous Thrombosis

Digestive Disease Interventions ◽

10.1055/s-0040-1712119 ◽

2020 ◽

Vol 04 (02) ◽

pp. 122-133

Author(s):

Joshua A. Turkeltaub ◽

Michael Kriss

Keyword(s):

Risk Factors ◽

Portal Vein ◽

Portal Vein Thrombosis ◽

Mesenteric Ischemia ◽

Treatment Options ◽

Rare Condition ◽

Mesenteric Venous Thrombosis ◽

Vein Thrombosis ◽

Clinical Considerations ◽

Transplant Candidates

AbstractPortal vein thrombosis is a rare condition seen in the general population, though is more prevalent in certain populations with thrombophilia as well as in patients with cirrhosis. Because morbidity and mortality can be significant with portal vein thrombosis, diagnosis and appropriate management are crucial. In noncirrhotic patients, untreated portal vein thrombosis can result in mesenteric ischemia and complications of portal hypertension. In cirrhosis, portal vein thrombosis is often incidentally found on routine screening imaging, and the treatment outside of transplant candidates is more controversial. In this review, we will outline risk factors for portal vein thrombosis, discuss indications for treatment, and evaluate both pharmacological and endovascular treatment options, highlighting unique clinical considerations dependent on the presence or absence of cirrhosis.

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