Endovascular treatment with primary stenting of inferior cava vein torsion following orthotopic liver transplantation with modified piggyback technique

Carlo Ferro, Enzo Andorno, Andrea Guastavino, Umberto G. Rossi, Sara Seitun, Giulio Bovio, Umberto Valente

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: This study was undertaken to evaluate primary stenting in patients with inferior vena cava torsion after orthotopic liver transplantation performed with modified piggyback technique. Materials and methods: From November 2003 to October 2010, six patients developed clinical, laboratory and imaging findings suggestive of caval stenosis, after a mean period of 21 days from an orthotopic liver transplantation performed with modified piggyback technique. Vena cavography showed stenosis due to torsion of the inferior vena cava at the anastomoses and a significant caval venous pressure gradient. All patients were treated with primary stenting followed by in-stent angioplasty in three cases. Results: In all patients, the stents were successfully positioned at the caval anastomosis and the venous gradient pressure fell from a mean value of 10 to 2 mmHg. Signs and symptoms resolved in all six patients. One patient died 3 months after stent placement due to biliary complications. No evidence of recurrence or complications was noted during the follow-up (mean 49 months). Conclusions: Primary stenting of inferior vena cava stenosis due to torsion of the anastomoses in patients receiving orthotopic liver transplantation with modified piggyback technique is a safe, effective and durable treatment.

Original languageEnglish
Pages (from-to)183-188
Number of pages6
JournalRadiologia Medica
Volume119
Issue number3
DOIs
Publication statusPublished - 2014

Fingerprint

Liver Transplantation
Veins
Venae Cavae
Inferior Vena Cava
Stents
Pathologic Constriction
Venous Pressure
Therapeutics
Angioplasty
Signs and Symptoms
Recurrence

Keywords

  • Inferior vena cava
  • Orthotopic liver transplantation
  • Stent
  • Torsion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Endovascular treatment with primary stenting of inferior cava vein torsion following orthotopic liver transplantation with modified piggyback technique. / Ferro, Carlo; Andorno, Enzo; Guastavino, Andrea; Rossi, Umberto G.; Seitun, Sara; Bovio, Giulio; Valente, Umberto.

In: Radiologia Medica, Vol. 119, No. 3, 2014, p. 183-188.

Research output: Contribution to journalArticle

Ferro, Carlo ; Andorno, Enzo ; Guastavino, Andrea ; Rossi, Umberto G. ; Seitun, Sara ; Bovio, Giulio ; Valente, Umberto. / Endovascular treatment with primary stenting of inferior cava vein torsion following orthotopic liver transplantation with modified piggyback technique. In: Radiologia Medica. 2014 ; Vol. 119, No. 3. pp. 183-188.
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