Caval inflow to the graft for liver transplantation in patients with diffuse portal vein thrombosis: a 12-year experience.

作者: Prashant Bhangui , Chetana Lim , Chady Salloum , Paola Andreani , Mylene Sebbagh

DOI: 10.1097/SLA.0B013E31822D7894

关键词: Liver functionVenous thrombosisPortal hypertensionLiver transplantationPortacaval shuntAnastomosisMedicinePortal vein thrombosisThrombosisSurgery

摘要: Objective To analyze the short- and long-term results of cavoportal anastomosis (CPA) renoportal (RPA) in 20 consecutive liver transplantation (LT) candidates with diffuse portal vein thrombosis (PVT). Summary background data Caval inflow to graft (CIG) by CPA or RPA has been most commonly used salvage technique overcome absolute contraindication for LT case PVT. Methods From 1996 2009, 3 patients (15%) underwent 17 (85%) had an during LT. In addition routine follow-up, were specifically evaluated signs hypertension (PHT) patency anastomoses. The follow-up ranged from months 12 years (median 4.5 years). Results : was feasible all attempted cases. short term ( 6 months), 1 death occurred because recurrent variceal bleeding after thrombosis. At last living [n = 13 (65%)] normal function, no PHT patent There retransplantations. Graft patient survival at 1, 3, 5 83%, 75%, 60%, respectively. Conclusions is efficacious satisfactory results, considering spontaneous outcome denied Adequate preoperative management its associated complications vital obtaining good results. long term, residual resolves function returns normal.

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