Transplantation · 2004
Systemic thrombolytic therapy for late-onset portal vein thrombosis after living-donor liver transplantation.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Takatsuki Mitsuhisa, Chen Chao-Long, Chen Yaw-Sen, Cheng Yu-Fan, Huang Tung-Liang
Аннотация
BACKGROUND: There have been few reports of noninvasive treatment for portal vein thrombosis (PVT) after liver transplantation.
METHODS: One adult patient and four pediatric patients developed PVT 5, 14, 14, 16, and 43 months after living-donor liver transplantation, respectively. All five of the patients received a 10-day course of systemic thrombolytic therapy with recombinant tissue plasminogen activator.
RESULTS: After the treatment was completed, successful portal vein recanalization was demonstrated on ultrasonography or multidetector three-dimensional computed tomography angiography in all five cases.
CONCLUSION: Noninvasive treatment with systemic recombinant tissue plasminogen activator should be considered for selected patients with late-onset PVT after liver transplantation.
METHODS: One adult patient and four pediatric patients developed PVT 5, 14, 14, 16, and 43 months after living-donor liver transplantation, respectively. All five of the patients received a 10-day course of systemic thrombolytic therapy with recombinant tissue plasminogen activator.
RESULTS: After the treatment was completed, successful portal vein recanalization was demonstrated on ultrasonography or multidetector three-dimensional computed tomography angiography in all five cases.
CONCLUSION: Noninvasive treatment with systemic recombinant tissue plasminogen activator should be considered for selected patients with late-onset PVT after liver transplantation.