Document Detail

Donor iliac vein interposition during liver transplantation in a patient with a migrated transjugular intrahepatic portosystemic shunt.
MedLine Citation:
PMID:  9500635     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Transjugular intrahepatic portosystemic shunts (TIPS) are sometimes used to reduce the risk of variceal bleeding or treat intractable ascites before orthotopic liver transplantation (OLT). TIPS usually do not make OLT more difficult, but rarely, malposition of TIPS can significantly complicate OLT.
METHOD AND RESULTS: The following report describes a patient in whom an initially well-placed Wallstent migrated to the confluence of the splenic and superior mesenteric veins. During liver transplantation, the portal vein containing the Wallstent was completely resected, and the portal vein was reconstructed with donor iliac vein. After sewing the iliac vein onto the portal remnant, the liver transplant was completed under portosystemic bypass. The patient had an uneventful recovery.
CONCLUSIONS: Wallstents can migrate within the portal vein. An interposition graft of donor vein allows full resection of the portal vein containing a migrated stent and facilitates portosystemic bypass and portal anastomosis.
A C Farney; P Gamboa; W D Payne; R W Gruessner
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Transplantation     Volume:  65     ISSN:  0041-1337     ISO Abbreviation:  Transplantation     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-03-24     Completed Date:  1998-03-24     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0132144     Medline TA:  Transplantation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  572-4     Citation Subset:  IM    
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MeSH Terms
Foreign-Body Migration*
Iliac Vein / surgery*
Liver Cirrhosis, Alcoholic / surgery
Liver Diseases, Alcoholic / surgery
Liver Transplantation / methods*
Middle Aged
Portal Vein / surgery
Portasystemic Shunt, Transjugular Intrahepatic*
Postoperative Complications*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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