Interventional treatment of portal vein thrombosis via hepatic circular ligament approach during liver transplantation: a report of 3 cases
10.3760/cma.j.cn421203-20231122-00172
- VernacularTitle:肝移植术中经供肝肝圆韧带入路介入治疗门静脉血栓3例
- Author:
Chiyi CHEN
1
;
Hao WANG
;
Li ZHANG
;
Qingjun GUO
;
Honghai WANG
;
Jisan SUN
;
Guang CHEN
;
Wentao JIANG
Author Information
1. 天津市第一中心医院肝移植科 天津市肝癌分子诊断与治疗重点实验室，天津 300192
- Keywords:
Liver transplantation;
Portal vein thrombosis;
Ligamentum teres hepatis;
Interventional therapy;
Operative approach
- From:
Chinese Journal of Organ Transplantation
2024;45(11):811-814
- CountryChina
- Language:Chinese
-
Abstract:
Three recipients with portal vein thrombosis experienced insufficient blood flow to transplanted liver due to residual thrombus after thrombectomy during liver transplantation. Alternative measures posed significant risks or technical challenges. To promptly restore blood flow, intraoperative intervention was performed via round ligament of donor liver for managing residual portal vein thrombus. Balloon dilation and vascular stenting effectively relieved local stenosis. After intervention, portal vein flow rate and volume fulfilled the standards and function of transplanted liver recovered smoothly. Follow-ups revealed unobstructed stents and no new thrombus formation. This simple, safe and efficacious technique has not been previously reported in the literature.
