Endovascular Stenting of Portal Vein for Graft Rescue after a Pancreas Transplant Venous Graft Thrombosis: A Case Report

Ann Vasc Surg. 2017 Jul:42:301.e13-301.e17. doi: 10.1016/j.avsg.2016.11.021. Epub 2017 Mar 22.

Abstract

Venous thrombosis of pancreas transplant allografts often leads to graft loss. It is an worrisome complication and difficult to treat, forming the most common nonimmunological cause of graft loss. Multiple risk factors have been implicated in the development of venous thrombosis of pancreas transplant. Color Doppler ultrasonography enables early diagnosis of venous thrombosis, thus increasing the possibility of graft-rescue treatments. Endovascular management of pancreatic transplant vascular complications is scant and in the form of case reports. We report a case of early detection of pancreatic graft venous thrombosis that was treated successfully by catheter-directed thrombolysis mechanical thrombectomy, percutaneous transluminal angioplasty, and stenting of portal vein.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon / instrumentation*
  • Graft Occlusion, Vascular / diagnostic imaging
  • Graft Occlusion, Vascular / etiology
  • Graft Occlusion, Vascular / physiopathology
  • Graft Occlusion, Vascular / therapy*
  • Graft Survival*
  • Humans
  • Male
  • Pancreas Transplantation / adverse effects*
  • Phlebography
  • Portal Vein* / diagnostic imaging
  • Portal Vein* / physiopathology
  • Self Expandable Metallic Stents*
  • Thrombectomy
  • Thrombolytic Therapy
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology
  • Venous Thrombosis / physiopathology
  • Venous Thrombosis / therapy*