Journal of Vascular and Interventional Radiology
Volume 20, Issue 11 , Pages 1454-1459 , November 2009

Transvenous Variceal Embolization during or after Living-donor Liver Transplantation to Improve Portal Venous Flow

  • Jin Hyoung Kim, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea
    • ,
  • Gi-Young Ko, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea
    • Corresponding Author InformationAddress correspondence to G.Y.K.
    • ,
  • Kyu-Bo Sung, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea
    • ,
  • Hyun-Ki Yoon, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea
    • ,
  • Kyung Rae Kim, MD

      Affiliations

    • Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea
    • ,
  • Deok-Bog Moon, MD

      Affiliations

    • Department of Surgery, Division of Hepatobiliary Surgery and Liver Transplantation, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea
    • ,
  • Sung-Gyu Lee, MD

      Affiliations

    • Department of Surgery, Division of Hepatobiliary Surgery and Liver Transplantation, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea

Received 1 November 2008 ,Revised 6 July 2009 ,Accepted 14 July 2009.

References 

  1. Paulsen AW, Klintrnalm GB. Direct measurement of hepatic blood flow in native and transplanted organs, with accompanying systemic hemodynamics. Hepatology. 1992;16:100–111
  2. Kita Y, Harihara Y, Sano K, et al. Reversible hepatofugal portal flow after liver transplantation using a small-for-size graft from a living donor. Transpl Int. 2001;14:217–222
  3. Sekido H, Matsuo K, Takeda K, et al. Severe fatty change of the graft liver caused by a portosystemic shunt of mesenteric varices. Transpl Int. 2002;15:259–262
  4. Fujimoto M, Moriyasu F, Nada T, et al. Influence of spontaneous portosystemic collateral pathways on portal hemodynamics in living-related liver transplantation in children (Doppler ultrasonographic study). Transplantation. 1995;60:41–45
  5. Ko GY, Sung KB, Yoon HK, Lee SG. Early posttransplantation portal vein stenosis following living donor liver transplantation: percutaneous transhepatic primary stent placement. Liver Transpl. 2007;13:530–536
  6. Kubo T, Shibata T, Itoh K, et al. Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor liver transplantation. Radiology. 2006;239:285–290
  7. Lee SG, Moon DB, Ahn CS, et al. Ligation of left renal vein for large spontaneous splenorenal shunt to prevent portal flow steal in adult living donor liver transplantation. Transpl Int. 2007;20:45–50
  8. Moon DB, Lee SG, Ahn C, et al. Application of intraoperative cine-portogram to detect spontaneous portosystemic collaterals missed by intraoperative Doppler exam in adult living donor liver transplantation. Liver Transpl. 2007;13:1279–1284
  9. Shibata T, Itoh K, Kubo T, et al. Percutaneous transhepatic balloon dilation of portal venous stenosis in patients with living donor liver transplantation. Radiology. 2005;235:1078–1083
  10. Gutierrez MG, Quintela J, Marini M, et al. Portal vein thrombosis in patients undergoing orthotopic liver transplantation: intraoperative endovascular radiological procedures. Transplant Proc. 2005;37:3906–3908
  11. Ko GY, Sung KB, Lee SG, et al. Stent placement for the treatment of portal vein stenosis or occlusion in pediatric liver transplant recipients. J Vasc Interv Radiol. 2007;18:1215–1221
  12. Kim YJ, Ko GY, Yoon HK, Shin JH, Ko HK, Sung KB. Intraoperative stent placement in the portal vein during or after liver transplantation. Liver Transpl. 2007;13:1145–1152

 None of the authors have identified a conflict of interest.

PII: S1051-0443(09)00813-6

doi: 10.1016/j.jvir.2009.07.036

Journal of Vascular and Interventional Radiology
Volume 20, Issue 11 , Pages 1454-1459 , November 2009

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