Open AccessSection 6. Management of Extensive Nontumorous Portal Vein Thrombosis in Adult Living Donor Liver Transplantation
Author(s) -
DeokBog Moon,
SungGyu Lee,
ChulSoo Ahn,
Shin Hwang,
KiHun Kim,
TaeYong Ha,
GiWon Song,
DongHwan Jung,
GilChun Park,
Jung-Man Namkoong,
Hyung-Woo Park,
Yo-Han Park,
CheonSoo Park,
KyuBo Sung,
GiYoung Ko,
Dong Il Gwon
Publication year - 2014
Publication title -
transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.45
H-Index - 204
eISSN - 1534-6080
pISSN - 0041-1337
DOI - 10.1097/01.tp.0000446270.20934.05
Subject(s) - medicine , portal vein thrombosis , thrombosis , surgery , liver transplantation , portal vein , complication , transplantation , radiology
Patent portal vein (PV) and adequate portal inflow is essential for successful living donor liver transplantation (LDLT). In extensive portal vein thrombosis (PVT) patients, however, complete PV thrombectomy is not feasible particularly at intrapancreatic portion, and subsequently portal flow steal through preexisting sizable collaterals or rethrombosis can occur. To overcome those problems, we introduced interruption of sizable collaterals and intraoperative cine-portogram (IOP), which is useful for diagnosis and treatment of residual PVT and sizable collaterals.