Related Experiment Video
Updated: Oct 16, 2025
08:45
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
864
Portal Vein Thrombosis In Cirrhosis: Interventional Treatment Options
Christopher Molvar1, Parag Amin2
1Department of Radiology, Loyola University Medical Center, Maywood, IL, USA. CMOLVAR@lumc.edu.
Current Gastroenterology Reports
|October 16, 2021
Summary
Transjugular intrahepatic portosystemic shunt (TIPS) is increasingly used for portal vein thrombosis (PVT) in cirrhosis. This interventional treatment can restore portal flow, aid thrombus resorption, and facilitate liver transplantation.
Area of Science:
- Hepatology
- Interventional Radiology
- Vascular Surgery
Background:
- Portal vein thrombosis (PVT) is a common complication of cirrhosis with variable management.
- Understanding PVT's physiology, presentation, and imaging is crucial for effective treatment.
Purpose of the Study:
- To review interventional treatment options and outcomes for portal vein thrombosis (PVT).
- To discuss the expanding role of transjugular intrahepatic portosystemic shunt (TIPS) in managing acute and chronic PVT.
Main Methods:
- Review of current literature on interventional treatments for PVT.
- Discussion of transjugular intrahepatic portosystemic shunt (TIPS) utilization for acute and chronic PVT.
- Highlighting portal vein recanalization (PVR) TIPS for liver transplant candidates with chronic PVT.
Main Results:
- TIPS improves hepatopetal flow in acute PVT, promoting thrombus resorption and preventing rethrombosis.
- TIPS serves as a conduit for thrombectomy and embolization of variceal shunts.
- PVR TIPS, though technically demanding, restores portal vein patency for liver transplantation in chronic PVT.
Conclusions:
- Interventional management of PVT, particularly with TIPS, is expanding and offers significant benefits.
- TIPS is effective for acute PVT and PVR TIPS is a viable option for chronic PVT in transplant candidates.
- Treatment selection for PVT depends on thrombus characteristics, symptoms, and transplant eligibility.
Keywords:
Portal hypertensionPortal vein thrombosisThrombectomyTransjugular intrahepatic portosystemic shunt (TIPS)More Related Videos
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