Inferior vena cava stenosis after orthotopic liver transplantation: diagnosis and treatment
- VernacularTitle:原位肝移植术后下腔静脉狭窄的诊治
- Author:
Guodong WANG
;
Guihua CHEN
;
Xiaoshun HE
;
Xiaofeng ZHU
;
Mingqiang LU
;
Jiefu HUANG
- Publication Type:Journal Article
- From:
Chinese Journal of General Surgery
2001;10(2):149-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the experience in diagnosis and treatment of inferior vena cava stenosis (IVCS) after orthotopic liver transplantation (OLT). Methods The clnical data of 3 patients with IVCS out of 51 OLT patients were analysed retrospectively. Results The incidence of IVCS after OLT was 5.8% (3/51) in our hospital. In the 3 cases, IVCS of the posteriorhepatic IVC segment occurred within the first postoperative month. IVCS was identified by color duplex ultrasonography and confirmed by angiography. Percutaenous transluminal angioplasty (PTA) or metallic stent replacement were used in the 3 cases resulting in restoration of normal venous flow and elimination of legs edema. The first patient died of cerebral hemorrhage 14 days after transplantation during anti-coagulative therapy. The other two recovered smoothly with good liver function, abdominal ultrasonography demonstrated patency of the IVC. The 2 cases were alive for 18 and 4 months respectively. Conclusions The venacavographic balloon angioplasty and metallic stent replacement are safe and useful for post-OLT IVCS. The short-term result is excellent.
