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Updated: Dec 9, 2025

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
Techniques for Management of Portal Vein Thrombosis during Liver Transplantation
Navdeep Singh1, Kenneth Washburn1, Sylvester Black1
1Division of Transplantation, Department of Surgery, The Ohio State University, Wexner Medical Center, Columbus, OH, USA.
Abstract:
Portal vein thrombosis (PVT) poses a unique challenge in liver transplant. The management of PVT differs according to the extent of thrombosis. Anastomosis of a donor portal vein to a varix is a viable option when an adequate size varix is identified on preoperative imaging or intraoperatively. Here, we describe our experience in two liver transplant cases with cavernous transformation of the portal vein where the donor portal vein was anastomosed to a varix using a donor iliac vein interposition graft.
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