English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

In recent years, percutaneous endovascular intervention has become the primary treatment for pediatric post-liver transplantation portal vein stenosis. This procedure is usually performed using a transhepatic approach. Herein, we report the transsplenic endovascular management of a 3-year-old girl with post-liver transplantation, late-onset portal vein occlusion, which occurred after repeated percutaneous transhepatic angioplasty procedures. Transhepatic access was precluded by thrombosis, and we considered an ileocecal approach too invasive; therefore, we performed a portal vein recanalization by puncturing a collector branch of the splenic vein, dilating the portal vein thrombotic stenosis using a balloon, and inserting a self-expanding stent. The majority of percutaneous procedures for portal vein stenosis in children are transhepatic; however, our case demonstrates that transsplenic stent insertion is possible, and should be considered when the transhepatic approach is precluded.

Percutaneous Transsplenic Stent Placement to Treat Portal Vein Occlusion in a Pediatric Liver Transplant Recipient