Life-threatening variceal bleeding after liver transplantation and extensive portal vein thrombosis: Desperate times call for desperate measures.
André Moreira de AssisJosé Andrade de Carvalho MeloWillian Yoshinori KawakamiAirton Mota MoreiraFrancisco Cesar CarnevaleHayashi MassamiAdriana Porta Miche HirschfeldRenata Pereira Sustovich PuglieseFlavia Krepel ForondaRicardo Gorgulho PaulinoAndré Augusto de AraújoEduardo Antunes FonsecaJoão Seda NetoPublished in: Pediatric transplantation (2023)
This report describes the feasibility of TIPS-PVR in the post-LT scenario complicated by extensive PVT. In this case, a complete resolution of the life-threatening GI bleeding was achieved, with no major complications. Other patients with complex chronic PVT might benefit from the use of the described technique, but further studies are required to determine the correct timing and indications of the procedure, eventually before the occurrence of life-threatening complications.