Systematic Review of Thrombolysis Therapy in the Management of Non-Cirrhosis-Related Portal Vein Thrombosis

Cheng, Qiuye; Tree, Kevin

doi:10.1007/s11605-020-04624-4

Cited by 20 publications

(17 citation statements)

References 37 publications

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“…Clinical success was demonstrated by prevention of resection in 15 of 17 patients, with no patient developing portal hypertensive complications during follow-up (43). Significant shortand long-term benefits with thrombolysis were noted in a meta-analysis performed by Cheng et al (47). The authors demonstrated favorable clinical and radiological outcomes, with a symptom improvement rate of 86% and a partial/ complete recanalization rate of 84%.…”

Section: Catheter-directed Thrombolysismentioning

confidence: 97%

Narrative review of portal vein thrombosis in cirrhosis: pathophysiology, diagnosis, and management from an interventional radiology perspective

Gadani¹,

Partovi²,

Levitin³

et al. 2022

Cardiovasc Diagn Ther

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Section: Catheter-directed Thrombolysismentioning

confidence: 97%

Narrative review of portal vein thrombosis in cirrhosis: pathophysiology, diagnosis, and management from an interventional radiology perspective

Gadani¹,

Partovi²,

Levitin³

et al. 2022

Cardiovasc Diagn Ther

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“…Local or systemic thrombolysis is usually proposed to a limited number of patients with thrombus progression or worsening clinical conditions despite adequate anticoagulation or with bowel infarction. 25 34…”

Section: Splanchnic Vein Thrombosismentioning

confidence: 99%

Treatment of Atypical Clots

Ageno

2022

Hamostaseologie

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The term unusual site thrombosis refers to the occurrence of venous thromboembolism outside of the lower limbs and the pulmonary arteries. Unusual site thrombosis can virtually affect any venous segment, with the most common and/or clinically relevant sites including the upper limbs veins, the retinal veins, the splanchnic veins and the cerebral veins. Clinical features are obviously heterogeneous, while many predisposing factors are common, though with different prevalence among the various disorders. Antithrombotic therapy is prescribed to most patients, but the type, intensity, and duration of treatment vary both within and among patient groups. Increasing evidence is supporting the use of the direct oral anticoagulants in patients with upper limb deep vein thrombosis, cerebral vein thrombosis, and with splanchnic vein thrombosis. This article will review available evidence on the treatment of venous thrombosis occurring in unusual sites.

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“…Major complications of thrombolysis are seen in about 7%, making it a safe therapeutic option (81). Balloon venoplasty has technical success rates of 66%-78% and restenosis rate of 28%–30% in contrast to stenting (78%–100% and 0%–28%, respectively) (82,83).…”

Section: Interventions In Portal Vein Thrombosis and Stenosismentioning

confidence: 99%

Percutaneous radiological interventions of the portal vein: a comprehensive review

2022

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The portal vein is the largest vessel supplying the liver. A number of radiological interventions are performed through the portal vein, namely for primary pathologies of the portal vein, for inducing liver hypertrophy or to treat the sequelae of portal hypertension among others. The routes used include direct transhepatic, transjugular, and, uncommonly, trans-splenic and through subcutaneous varices. Portal vein embolization and transjugular intrahepatic portosystemic shunt are among the most common portal vein interventions that are performed to induce hypertrophy of the future liver remnant and to treat complications of portal hypertension, respectively. Other interventions include transhepatic obliteration of varices and shunts, portal vein thrombolysis, portal vein recanalization, pancreatic islet cell transplantation, and embolization of portal vein injuries. We present a detailed illustrative review of the various radiological portal vein interventions.

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Systematic Review of Thrombolysis Therapy in the Management of Non-Cirrhosis-Related Portal Vein Thrombosis

Cited by 20 publications

References 37 publications

Narrative review of portal vein thrombosis in cirrhosis: pathophysiology, diagnosis, and management from an interventional radiology perspective

Narrative review of portal vein thrombosis in cirrhosis: pathophysiology, diagnosis, and management from an interventional radiology perspective

Treatment of Atypical Clots

Percutaneous radiological interventions of the portal vein: a comprehensive review

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