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Percutaneous mesenteric venous thrombectomy and thrombolysis: Successful treatment followed by liver transplantation
Author(s) -
Ryu Robert,
Lin Terry C.,
Kumpe David,
Krysl Joseph,
Durham Janette D.,
Goff James S.,
Everson Gregory T.,
Kam Igal,
Wachs Michael,
Russ Paul,
Shrestha Roshan,
Trouillot Thomas E.,
Bilir, Bahri M.
Publication year - 1998
Publication title -
liver transplantation and surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1074-3022
DOI - 10.1002/lt.500040305
Subject(s) - medicine , thrombolysis , liver transplantation , cirrhosis , portal vein thrombosis , surgery , percutaneous , streptokinase , transplantation , mesenteric ischemia , venous thrombosis , thrombosis , ischemia , myocardial infarction
Mesenteric vein thrombosis (MVT) is a rare cause of intestinal ischemia. Because of its nonspecific symptoms, diagnosis is often delayed. We describe a patient with liver cirrhosis who developed acute MVT while waiting for liver transplantation. Surgical intervention carried a high risk because of her underlying cirrhosis. Mesenteric venous thrombectomy and thrombolysis were performed with an AngioJet (Possis Medical, Minneapolis, MN) thrombectomy device and streptokinase infusion through transjugular route. The patient subsequently received an orthotopic liver transplant. We also present a review of the literature about the occurrence and treatment options for MVT.