Related Experiment Video
Updated: Apr 20, 2026
08:45
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
2.0K
Portal vein thrombosis.
Syed Abdul Basit1, Christian D Stone1, Robert Gish2
1Section of Gastroenterology and Hepatology, University of Nevada School of Medicine, 2040 West Charleston Boulevard, Suite 300, Las Vegas, NV 89102, USA.
Clinics in Liver Disease
|December 3, 2014
Summary
Portal vein thrombosis (PVT), a rare condition often linked to cirrhosis, can cause severe liver complications. This review focuses on PVT in cirrhosis, offering diagnostic and therapeutic guidelines.
Area of Science:
- Gastroenterology and Hepatology
- Vascular Medicine
Background:
- Portal vein thrombosis (PVT) is an uncommon condition.
- It frequently complicates cirrhosis with portal hypertension and can be associated with liver tumors.
- Diagnosis is often incidental via imaging, but symptomatic presentations and severe complications like ischemic hepatitis or liver failure can occur.
Purpose of the Study:
- To review the pathophysiology of portal vein thrombosis.
- To focus on PVT specifically in patients with cirrhosis.
- To provide comprehensive guidelines for the diagnosis and management of PVT.
Main Methods:
- Literature review focusing on pathophysiology, diagnosis, and treatment of PVT.
- Emphasis on clinical presentation and complications in cirrhotic patients.
- Synthesis of current evidence to formulate diagnostic and therapeutic strategies.
Main Results:
- PVT pathophysiology is complex, particularly in the context of cirrhosis.
- Early diagnosis through imaging is crucial.
- Management strategies aim to prevent severe complications and improve patient outcomes.
Conclusions:
- PVT requires careful consideration, especially in patients with liver disease.
- Optimal diagnostic and therapeutic approaches are essential for managing PVT and its complications.
- Further research may refine understanding and treatment of this rare disorder.
Related Concept Videos
01:30Venous Thrombosis I: Introduction
769
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
769
01:29Venous Thrombosis III: Interprofessional Care
475
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
475
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
450
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
450
01:22Portal Hypertension
4
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
4
01:11Overview of Systemic Veins
1.8K
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
1.8K
01:30Venous Thrombosis IV: Nursing Management
400
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
400