Endovascular transsplenic recanalization with angioplasty and stenting of an occluded main portal vein in an adult liver transplant recipient

Radiol Case Rep. 2020 Mar 21;15(5):615-623. doi: 10.1016/j.radcr.2020.02.026. eCollection 2020 May.

Abstract

Endovascular transshepatic access has limitations that can be exacerbated in the posttransplantation setting. Although several techniques are available for portal venous system catheterization, the transsplenic approach offers a direct pathway for accessing the portal venous system, as well as associated varices or shunts, while avoiding potential injury to the liver transplant. The purpose of this report is to present the diagnostic and interventional management of main portal vein occlusion in a 56-year-old female after liver transplantation. Endovascular transsplenic recanalization with stenting and shunt embolization is a viable method for treatment of main portal vein thrombosis in an adult liver transplant recipient.

Keywords: Liver transplant recipient; Main portal vein occlusion; Recanalization; Splenorenal venous shunt; Thrombosis; Transsplenic.

Publication types

  • Case Reports