Complex Liver Transplantation Using Venovenous Bypass With an Atypical Placement of the Portal Vein Cannula

2020 ◽  
Author(s):  
Giuseppe Rocco ◽  
Antonio Siniscalchi ◽  
Matteo Serenari ◽  
Guido Fallani ◽  
Giuliana Germinario ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Venovenous Bypass

Percutaneous Portal Vein Interventions in Pediatric Patients after Liver Transplantation

2013 ◽  
Vol 61 (S 02) ◽  
Author(s):  
CM Happel ◽  
J Kues ◽  
S Schoof ◽  
E Pfister ◽  
T Becker ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Pediatric Patients

scholarly journals Hemodynamic profile and tissular oxygenation in orthotopic liver transplantation: Influence of hepatic artery or portal vein revascularization of the graft

2006 ◽  
Vol 12 (11) ◽  
pp. 1607-1614 ◽  
Author(s):  
Carlos Moreno ◽  
Antoni Sabaté ◽  
Joan Figueras ◽  
Imma Camprubí ◽  
Antonia Dalmau ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Orthotopic Liver Transplantation ◽  
Hemodynamic Profile

Measurement of liver volumes by portal vein flow by Doppler ultrasound in living donor liver transplantation

2017 ◽  
Vol 31 (9) ◽  
pp. e13050 ◽  
Author(s):  
Sang Hyun Choi ◽  
Jae Hyun Kwon ◽  
Kyoung Won Kim ◽  
Hye Young Jang ◽  
Ji Hye Kim ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Doppler Ultrasound ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Portal Vein Flow

scholarly journals Transsplenic portal vein recanalization and direct intrahepatic portosystemic shunt placement to optimize liver transplantation

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Osman Ahmed ◽  
Abhijit L. Salaskar ◽  
Steven Zangan ◽  
Anjana Pillai ◽  
Talia Baker
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Splenic Vein ◽  
Portosystemic Shunt ◽  
Refractory Ascites ◽  
Hepatic Veins ◽  
Sonographic Guidance ◽  
Portosystemic Shunts ◽  
Intrahepatic Portosystemic Shunt ◽  
End To End

Abstract Background Percutaneous trans-splenic portal vein recanalization (PVR) has been reported for facilitation of transjugular intrahepatic portosystemic shunts (TIPS), however has not been applied to patients undergoing direct intrahepatic portosystemic shunt (DIPS). We report the utilization of trans-splenic-PVR with DIPS creation in a patient with chronic portal and hepatic vein occlusions undergoing liver transplantation evaluation. Case presentation A 48-year-old male with decompensated alcoholic cirrhosis complicated by refractory ascites, hepatic encephalopathy, and variceal bleeding underwent CT that demonstrated chronic occlusion of the hepatic veins (HV), extrahepatic portal vein (PV), and superior mesenteric vein (SMV). Due to failed attempts at TIPS at outside institutions, interventional radiology was consulted for portal vein recanalization (PVR) with TIPS to treat the portal hypertension and ascites and also facilitate an end-to-end PV anastomosis at transplantation. After an initial hepatic venogram confirmed chronic HV occlusion, a DIPS with trans-splenic PVR was planned. The splenic vein was accessed under sonographic guidance using a micropuncture set and subsequently upsized to a 6 French sheath over a stiff guidewire. A splenic venogram via this access confirmed occlusion of the PV with drainage of the splenic vein (SV) through gastric varices. The thrombosed PV was then recanalized and angioplastied to restore PV flow via the transsplenic approach. A transjugular liver access kit with a modified 21-gauge needle was advanced into the IVC through the internal jugular vein (IJV) sheath and directed towards the target snare in PV. The needle was used to subsequently puncture the PV through the caudate lobe and facilitate placement of a wire into the SV. The initial portosystemic gradient (PSG) was 20 mmHg. The IJV sheath was advanced through the hepatic parenchymal tract into the main-PV and a stent-graft was placed across the main PV and into the IVC. A portal venogram demonstrated brisk blood flow through the DIPS, resolution of varices and a PSG of 8 mmHg. One month after the procedure, the patient had a significant reduction in ascites and MELD-NA score. Patient is currently listed and awaiting transplantation. Conclusions In the setting of chronically occluded portal and hepatic veins, trans-splenic PVR DIPS may serve as an effective bridge to liver transplantation by facilitating an end to end portal vein anastomosis.

INTRAOPERATIVE FLOWS AND POSTOPERATIVE RESISTIVE INDEX AS PREDICTORS OF HEPATIC ARTERY AND PORTAL VEIN THROMBOSIS IN LIVER TRANSPLANTATION.

2000 ◽  
Vol 69 (Supplement) ◽  
pp. S138
Author(s):  
Ernesto P. Molmenti ◽  
Thomas W. Roodhouse ◽  
Howard Huang ◽  
Christine Coke ◽  
Marlon F. Levy ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Portal Vein Thrombosis ◽  
Resistive Index ◽  
Vein Thrombosis

A new approach to portal vein reconstruction in liver transplantation in patients with distal splenorenal shunts

2001 ◽  
Vol 33 (1-2) ◽  
pp. 1326 ◽  
Author(s):  
T Kato ◽  
D.M Levi ◽  
W DeFaria ◽  
S Nishida ◽  
A Pinna ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
New Approach ◽  
Portal Vein Reconstruction

scholarly journals Heparin coating reduces cell activation and mediator release in an in vitro venovenous bypass model for liver transplantation

1998 ◽  
Vol 11 (4) ◽  
pp. 252-258 ◽  
Author(s):  
Rigmor Solberg ◽  
Tim Scholz ◽  
Vibeke Videm ◽  
Cecilie Okkenhaug ◽  
Ansgar O. Aasen
Keyword(s):  
Liver Transplantation ◽  
Cell Activation ◽  
Mediator Release ◽  
Venovenous Bypass ◽  
Heparin Coating
Sign in / Sign up

Export Citation Format

Share Document