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Updated: Aug 29, 2026

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
Intravascular thrombosis and thromboembolism during liver transplantation: antifibrinolytic therapy implicated?
Michael A E Ramsay1, Henry B Randall, Elizabeth C Burton
1Department of Anesthesiology and Pain Management, Baylor Regional Transplant Institute, Baylor University Medical Center, Dallas, TX 75246, USA. docram@baylorhealth.edu
Abstract:
This case report describes a patient who underwent orthotopic liver transplantation and developed extensive hyperacute venous and arterial intravascular thromboses and thromboemboli intraoperatively. The patient was receiving antifibrinolytic therapy with aprotinin. The safety of routine aprotinin therapy in liver transplantation is examined. The value of the thrombelastograph (TEG) as a qualitative assessment of the coagulation system is emphasized.
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