Percutaneous Transsplenic Stent Placement to Treat Portal Vein Occlusion in a Pediatric Liver Transplant Recipient
نویسندگان
چکیده
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.
منابع مشابه
Interventional Treatment for Portal Venous Occlusion After Liver Transplantation
Portal vein (PV) occlusion after liver transplant is an uncommon clinical situation, and percutaneous interventional treatment for this condition has not been widely described. The aim of this study was to evaluate the long-term treatment effect of interventional treatment for PV occlusion after liver transplantation (LT). Follow-up data of 13 patients who received interventional treatment for ...
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