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Digestive Disease Interventions 2019; 03(04): 277-286
DOI: 10.1055/s-0039-3400494
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Treatment of Hepatic Venous Outflow Obstruction after Liver Transplant

Mithil B. Pandhi
1   Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois
,
Andrew J. Lipnik
1   Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois
2   Division of Interventional Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois
,
Matthew M. Niemeyer
1   Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois
2   Division of Interventional Radiology, University of Illinois Hospital & Health Sciences System, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

14 April 2019

15 October 2019

Publication Date:
21 November 2019 (online)

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Abstract

Liver transplantation provides definitive treatment to address acute or chronic end-stage liver disease and its complications. Hepatic venous outflow obstruction is an infrequent complication of liver transplantation that affects graft survival by compromising outflow via transplant hepatic veins or inferior vena cava. It can occur in the early postoperative phase or in a delayed manner, resulting in venous congestion, graft dysfunction, graft failure, and death. This article addresses the pathophysiology of venous outflow obstruction as it relates to different surgical techniques and patient populations, the noninvasive tools for diagnosis, and the endovascular options for treatment along with their safety, efficacy, and durability.

Keywords

hepatic venous outflow obstruction - liver transplant - stent - stenosis

Disclosure Statement

MP, AL, and MN have nothing to disclose.


 

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