Intraoperative placement of a Wallstent for portal vein stenosis and thrombosis after liver transplantation |
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Authors: | HM McDaniel M Johnson MD Pescovitz RS Filo L Lumeng SB Leapman ML Milgrom RM Jindal |
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Affiliation: | Department of Surgery, Indiana University School of Medicine, Indianapolis 46202, USA. |
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Abstract: | We report a case of orthotopic liver transplantation, in which portal vein thrombosis developed in the immediate postoperative period. Surgical thrombectomy and intraoperative placement of a large caliber Wallstent resulted in long-term patency. The unique feature of this case is the intraoperative placement of the stent via the inferior mesenteric vein under fluoroscopic guidance. The use of a large caliber (16 mm) stent obviated the need for postoperative anticoagulation. |
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