Research progress in perioperative management of portal vein thrombosis in liver transplantation
10.3969/j.issn.1674-7445.2023185
- VernacularTitle:肝移植围手术期门静脉血栓管理的研究进展
- Author:
Shaocheng LYU
1
;
Qiang HE
1
Author Information
1. Department of Hepatobiliary Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.
- Publication Type:ExpertForum
- Keywords:
Liver transplantation;
Portal vein thrombosis;
Typing;
Vascular reconstruction;
Anticoagulant therapy;
Thrombolytic therapy;
Transjugular intrahepatic portosystemic shunt;
Hemorrhage
- From:
Organ Transplantation
2024;15(1):26-32
- CountryChina
- Language:Chinese
-
Abstract:
Portal vein thrombosis is one of the common complications of liver cirrhosis. The incidence of portal vein thrombosis is increased with the progression of diseases. The incidence and progression of portal vein thrombosis are associated with multiple factors. The indications of anticoagulant therapy remain to be investigated. At present, portal vein thrombosis is no longer considered as a contraindication for liver transplantation. Nevertheless, complicated portal vein thrombosis will increase perioperative risk of liver transplantation. How to restore the blood flow of portal vein system is a challenge for surgical decision-making in clinical practice. Rational preoperative typing, surgical planning and portal vein reconstruction are the keys to ensure favorable long-term prognosis of liver transplant recipients. In this article, epidemiological status, risk factors, typing and identification of portal vein thrombosis, preoperative and intraoperative management of portal vein thrombosis in liver transplantation, and the impact of portal vein thrombosis on the outcomes of liver transplantation were reviewed, aiming to provide reference for perioperative management of portal vein thrombosis throughout liver transplantation.
