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The spectrum of portal vein thrombosis in liver transplantation

Stieber, AC and Zetti, G and Todo, S and Tzakis, AG and Fung, JJ and Marino, I and Casavilla, A and Selby, RR and Starzl, TE (1991) The spectrum of portal vein thrombosis in liver transplantation. Annals of Surgery, 213 (3). 199 - 206. ISSN 0003-4932

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Abstract

Thrombosis of the portal vein with or without patency of its tributaries used to be a contraindication to orthotopic liver transplantation (OLTX) until quite recently. Rapid progress in the surgical technique of OLTX in the last few years has demonstrated that most patients with portal vein thrombosis can be safely and successfully transplanted. Presented here is a series of 34 patients with portal vein thrombosis transplanted at the University of Pittsburgh since 1984. The various techniques used to treat various forms of thrombosis are described. The survival rate for this series was 67.6% (23 of 34 patients). Survival was best for patients who underwent phlebothrombectomy or placement of a jump graft from the superior mesenteric vein. The survival rate also correlated with the amount of blood required for transfusion during surgery. Overall it is concluded that a vast majority of the patients with thrombosis of the portal system can be technically transplanted and that their survival rate is comparable to that of patients with patent portal vein.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Stieber, AC
Zetti, G
Todo, S
Tzakis, AG
Fung, JJ
Marino, I
Casavilla, A
Selby, RR
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 January 1991
Date Type: Publication
Journal or Publication Title: Annals of Surgery
Volume: 213
Number: 3
Page Range: 199 - 206
DOI or Unique Handle: 10.1097/00000658-199103000-00003
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0003-4932
Other ID: uls-drl:31735062117068, Starzl CV No. 1153
Date Deposited: 08 Apr 2010 17:19
Last Modified: 02 Feb 2019 13:57
URI: http://d-scholarship.pitt.edu/id/eprint/4539

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