Alternative forms of portal vein revascularization in liver transplant recipients with complex portal vein thrombosis.

Yiliam Fundora,Amelia J Hessheimer,Luca Del Prete,Lorenzo Maroni,Jacopo Lanari,Oriana Barrios,Mathias Clarysse,Mikel Gastaca,Manuel Barrera Gómez,Agnès Bonadona,Julius Janek,Andrea Boscà,Jose María Álamo Martínez,Gabriel Zozaya,Dolores López Garnica,Paolo Magistri, Francisco León,Giulia Magini,Damiano Patrono, Jiří Ničovský,Abdul Rahman Hakeem,Silvio Nadalin,Lucas McCormack, Pilar Palacios,Krzysztof Zieniewicz,Gerardo Blanco,Javier Nuño,Baltasar Pérez Saborido,Juan Echeverri, J Steve Bynon,Paulo N Martins,Víctor López López,Murat Dayangac,J Peter A Lodge,Renato Romagnoli,Christian Toso,Julio Santoyo,Fabrizio Di Benedetto,Concepción Gómez-Gavara,Fernando Rotellar,Miguel Ángel Gómez-Bravo,Rafael López Andújar,Edouard Girard,Andrés Valdivieso,Jacques Pirenne,Laura Lladó,Giacomo Germani,Matteo Cescon,Koji Hashimoto,Cristiano Quintini,Umberto Cillo,Wojciech G Polak,Constantino Fondevila

Journal of hepatology（2023）

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摘要

Complex portal vein thrombosis (PVT) is a challenge in liver transplantation. Results of this international, multicenter analysis may be used to guide clinical decisions in transplant candidates with complex PVT. Extra-anatomical portal vein anastomoses that allow for at least some recipient splanchnic blood flow to the transplant allograft offer acceptable results. On the other hand, anastomoses that deliver only systemic blood flow to the allograft fail to resolve portal hypertension and should not be performed.

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关键词

cavoportal anastomosis,cavoportal hemitransposition,liver transplantation,multivisceral transplantation,portal hypertension,portal vein thrombosis,renoportal anastomosis

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