Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation

Orthotopic liver transplantation can be a surgically complex undertaking, with hepatic venous outflow obstruction occurring at a rate of 1%-6% due to inferior vena cava (IVC) torsion, compression, or anastomotic stenosis. In this report, we present 2 cases of immediate postoperative hepatic venous o...

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Main Authors: Simona Morochnik, Ph.D., Matthew M. Niemeyer, M.D., Andrew J. Lipnik, M.D., Ron C. Gaba, M.D.,M.S.
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320306087
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author Simona Morochnik, Ph.D.
Matthew M. Niemeyer, M.D.
Andrew J. Lipnik, M.D.
Ron C. Gaba, M.D.,M.S.
author_facet Simona Morochnik, Ph.D.
Matthew M. Niemeyer, M.D.
Andrew J. Lipnik, M.D.
Ron C. Gaba, M.D.,M.S.
author_sort Simona Morochnik, Ph.D.
collection DOAJ
description Orthotopic liver transplantation can be a surgically complex undertaking, with hepatic venous outflow obstruction occurring at a rate of 1%-6% due to inferior vena cava (IVC) torsion, compression, or anastomotic stenosis. In this report, we present 2 cases of immediate postoperative hepatic venous outflow obstruction in the setting of Budd-Chiari syndrome successfully treated with immediate IVC stenting. Although IVC stenting has been reported for management of long-term IVC anastomotic stenosis after orthotopic liver transplantation, use of stenting to address immediate postoperative caval outflow obstruction is less commonly described. We describe the potential utility of immediate stenting to improve outflow from the transplanted liver and highlight the value of this approach in addressing early postsurgical IVC pathology
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spelling doaj.art-46e2450a623e4f88bca7e26f40e001f12022-12-21T19:45:43ZengElsevierRadiology Case Reports1930-04332021-02-01162224229Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantationSimona Morochnik, Ph.D.0Matthew M. Niemeyer, M.D.1Andrew J. Lipnik, M.D.2Ron C. Gaba, M.D.,M.S.3University of Illinois College of Medicine, Chicago, IL, USADepartment of Radiology, Division of Interventional Radiology, University of Illinois at Chicago, 1740 West Taylor Street MC 931, Chicago, IL 60612, USADepartment of Radiology, Division of Interventional Radiology, University of Illinois at Chicago, 1740 West Taylor Street MC 931, Chicago, IL 60612, USADepartment of Radiology, Division of Interventional Radiology, University of Illinois at Chicago, 1740 West Taylor Street MC 931, Chicago, IL 60612, USA; Correspondence author.Orthotopic liver transplantation can be a surgically complex undertaking, with hepatic venous outflow obstruction occurring at a rate of 1%-6% due to inferior vena cava (IVC) torsion, compression, or anastomotic stenosis. In this report, we present 2 cases of immediate postoperative hepatic venous outflow obstruction in the setting of Budd-Chiari syndrome successfully treated with immediate IVC stenting. Although IVC stenting has been reported for management of long-term IVC anastomotic stenosis after orthotopic liver transplantation, use of stenting to address immediate postoperative caval outflow obstruction is less commonly described. We describe the potential utility of immediate stenting to improve outflow from the transplanted liver and highlight the value of this approach in addressing early postsurgical IVC pathologyhttp://www.sciencedirect.com/science/article/pii/S1930043320306087Inferior vena cavaStentOrthotopic liver transplantation
spellingShingle Simona Morochnik, Ph.D.
Matthew M. Niemeyer, M.D.
Andrew J. Lipnik, M.D.
Ron C. Gaba, M.D.,M.S.
Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
Radiology Case Reports
Inferior vena cava
Stent
Orthotopic liver transplantation
title Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
title_full Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
title_fullStr Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
title_full_unstemmed Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
title_short Immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
title_sort immediate postoperative inferior vena cava stenting to improve hepatic venous outflow following orthotopic liver transplantation
topic Inferior vena cava
Stent
Orthotopic liver transplantation
url http://www.sciencedirect.com/science/article/pii/S1930043320306087
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