Endovascular Treatment of Hepatic Venous Outflow Obstruction after Liver Transplant

Mithil B. Pandhi; Andrew J. Lipnik; Matthew M. Niemeyer

doi:10.1055/s-0039-3400494

Digestive Disease Interventions, Inhaltsverzeichnis

Digestive Disease Interventions 2019; 03(04): 277-286
DOI: 10.1055/s-0039-3400494

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Treatment of Hepatic Venous Outflow Obstruction after Liver Transplant

Mithil B. Pandhi

¹Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois

,

Andrew J. Lipnik

¹Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois

²Division of Interventional Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois

,

Matthew M. Niemeyer

¹Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois

²Division of Interventional Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois

› Institutsangaben

Abstract

Liver transplantation provides definitive treatment to address acute or chronic end-stage liver disease and its complications. Hepatic venous outflow obstruction is an infrequent complication of liver transplantation that affects graft survival by compromising outflow via transplant hepatic veins or inferior vena cava. It can occur in the early postoperative phase or in a delayed manner, resulting in venous congestion, graft dysfunction, graft failure, and death. This article addresses the pathophysiology of venous outflow obstruction as it relates to different surgical techniques and patient populations, the noninvasive tools for diagnosis, and the endovascular options for treatment along with their safety, efficacy, and durability.

Keywords

hepatic venous outflow obstruction - liver transplant - stent - stenosis

Volltext

Referenzen

References
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