Narita Y, Sugawara Y, Ibuki S, Irie T, Shimata K, Yamamoto H, Hibi T
Department of Pediatric Surgery and Transplantation, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Department of Pediatric Surgery and Transplantation, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Transplant Proc. 2019 Jun;51(5):1522-1524. doi: 10.1016/j.transproceed.2019.01.123. Epub 2019 Apr 19.
Portal vein thrombosis (PVT) and portal vein stenosis (PVS) are rare complications after liver transplantation that can lead to graft failure and patient death.
The aim of this study was to evaluate the effect of interventional treatment for PVT and PVS occlusion after liver transplantation. Follow-up data of 7 patients who underwent stent replacement for PVT and/or PVS were analyzed. The clinical success, complications, and portal vein patency were analyzed.
Clinical success was obtained in 6 of the 7 patients. No portal hypertension-related symptoms reoccurred in the 6 patients during the follow-up.
Interventional radiologic treatment produced a high success rate and a favorable long-term outcome.
门静脉血栓形成（PVT）和门静脉狭窄（PVS）是肝移植术后罕见的并发症，可导致移植物功能衰竭和患者死亡。
本研究的目的是评估肝移植术后PVT和PVS闭塞的介入治疗效果。分析了7例因PVT和/或PVS接受支架置换术患者的随访数据。对临床成功率、并发症和门静脉通畅情况进行了分析。
7例患者中有6例获得临床成功。随访期间，这6例患者未再次出现门静脉高压相关症状。
介入放射学治疗成功率高，长期效果良好。
