Endovascular Treatment of Venous Outflow and Portal Venous Complications After Liver Transplantation

Michael T Aaberg; Carlos E Marroquin; Nima Kokabi; Anant D Bhave; Joseph T Shields; Bill S Majdalany

doi:10.1016/j.tvir.2023.100924

Endovascular Treatment of Venous Outflow and Portal Venous Complications After Liver Transplantation

Tech Vasc Interv Radiol. 2023 Dec;26(4):100924. doi: 10.1016/j.tvir.2023.100924. Epub 2023 Oct 22.

Authors

Michael T Aaberg¹, Carlos E Marroquin², Nima Kokabi³, Anant D Bhave⁴, Joseph T Shields⁴, Bill S Majdalany⁵

Affiliations

¹ Department of Surgery, University of Wisconsin, Madison, WI.
² Division of Transplant Surgery and Immunology, Department of Surgery, University of Vermont Medical Center, Burlington, VT.
³ Division of Interventional Radiology, Department of Radiology, University of North Carolina, Chapel Hill, NC.
⁴ Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, Burlington, VT.
⁵ Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, Burlington, VT. Electronic address: Bill.majdalany@uvmhealth.org.

PMID: 38123283
DOI: 10.1016/j.tvir.2023.100924

Abstract

Liver transplantation continues to rapidly evolve, and in 2020, 8906 orthotopic liver transplants were performed in the United States. As a technically complex surgery with multiple vascular anastomoses, stenosis and thrombosis of the venous anastomoses are among the recognized vascular complications. While rare, venous complications may be challenging to manage and can threaten the graft and the patient. In the last 20 years, endovascular approaches have been increasingly utilized to treat post-transplant venous complications. Herein, the evaluation and interventional treatment of post-transplant venous outflow complications, portal vein stenosis, portal vein thrombosis, and recurrent portal hypertension with transjugular intrahepatic portosystemic shunt (TIPS) are reviewed.

Keywords: Liver Transplant; Portal Vein Stenosis; Portal vein thrombosis; TIPS; Venous Outflow Complication.

Publication types

Review

MeSH terms

Constriction, Pathologic
Humans
Liver Transplantation* / adverse effects
Portal Vein / diagnostic imaging
Portal Vein / surgery
Portasystemic Shunt, Transjugular Intrahepatic* / adverse effects
Thrombosis*
Treatment Outcome