TY - JOUR AU - Seedial, Stephen M.; Mouli, Samdeep K.; Desai, Kush R. TI - Acute Portal Vein Thrombosis: Current Trends in Medical and Endovascular Management SN - 0739-9529 SN - 1098-8963 PY - 2018 JO - Semin intervent Radiol JF - Seminars in Interventional Radiology LA - EN VL - 35 IS - 03 SP - 198 EP - 202 DA - 2018/08/06 KW - portal hypertension KW - portal vein thrombosis KW - thrombolysis KW - thrombectomy AB - Acute portal vein thrombosis (PVT) is a relatively rare diagnosis with a nonspecific clinical presentation. Imaging plays an important role in establishing the diagnosis as well as the etiology and complications of acute PVT. Prompt diagnosis is essential to prevent catastrophic short-term complications including bowel infarction, sepsis, and possible death; missed diagnosis can also result in the long-term sequelae of portal hypertension. Differentiation of acute from chronic PVT is crucial as management strategies differ. Currently, guidelines for treating acute PVT recommend immediate initiation of systemic anticoagulation. Catheter-directed therapy may be used in combination with systemic anticoagulation in the setting of bowel ischemia or as an adjunct in patients with a contraindication to systemic anticoagulation. In this review article, we discuss the diagnosis and clinical features of acute PVT, focusing on current medical and endovascular management strategies including mechanical thrombectomy and fibrinolytic therapy. PB - Thieme Medical Publishers DO - 10.1055/s-0038-1660798 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0038-1660798 ER -