Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures

Acute portomesenteric vein thrombosis is potentially lethal. In the present paper, a cirrhotic patient with a previous history of esophageal variceal bleeding presented with acute occlusive portomesenteric vein thrombosis, but achieved complete recanalization by low-molecular-weight heparin followed...

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Main Authors: Xiangbo Xu, Xiaozhong Guo, Ran Wang, Le Wang, Qianqian Li, Fangfang Yi, Hongyu Li, Xingshun Qi
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Annals of Hepatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1665268119322252
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spelling doaj-2bd7459fd4a54cf88c702f95c8c7a6822021-06-09T05:56:31ZengElsevierAnnals of Hepatology1665-26812020-09-01195573577Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal proceduresXiangbo Xu0Xiaozhong Guo1Ran Wang2Le Wang3Qianqian Li4Fangfang Yi5Hongyu Li6Xingshun Qi7Department of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR China; Postgraduate College, Shenyang Pharmaceutical University, Shenyang 110016, PR ChinaDepartment of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR China; Corresponding authors at:Department of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR ChinaDepartment of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR ChinaDepartment of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR ChinaDepartment of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR ChinaDepartment of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR ChinaDepartment of Gastroenterology, General Hospital of Northern Theater Command (Formerly General Hospital of Shenyang Military Area), Shenyang, PR China; Corresponding authors at:Acute portomesenteric vein thrombosis is potentially lethal. In the present paper, a cirrhotic patient with a previous history of esophageal variceal bleeding presented with acute occlusive portomesenteric vein thrombosis, but achieved complete recanalization by low-molecular-weight heparin followed by rivaroxaban. Notably, no bleeding episode occurred during anticoagulation therapy. This case supported early initiation of anticoagulation in such patients.http://www.sciencedirect.com/science/article/pii/S1665268119322252Liver cirrhosisPortal vein thrombosisAnticoagulationBleeding
collection DOAJ
language English
format Article
sources DOAJ
author Xiangbo Xu
Xiaozhong Guo
Ran Wang
Le Wang
Qianqian Li
Fangfang Yi
Hongyu Li
Xingshun Qi
spellingShingle Xiangbo Xu
Xiaozhong Guo
Ran Wang
Le Wang
Qianqian Li
Fangfang Yi
Hongyu Li
Xingshun Qi
Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
Annals of Hepatology
Liver cirrhosis
Portal vein thrombosis
Anticoagulation
Bleeding
author_facet Xiangbo Xu
Xiaozhong Guo
Ran Wang
Le Wang
Qianqian Li
Fangfang Yi
Hongyu Li
Xingshun Qi
author_sort Xiangbo Xu
title Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
title_short Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
title_full Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
title_fullStr Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
title_full_unstemmed Low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
title_sort low-molecular-weight heparin followed by rivaroxaban for acute occlusive portomesenteric vein thrombosis in a cirrhotic patient treated with multiple endoscopic variceal procedures
publisher Elsevier
series Annals of Hepatology
issn 1665-2681
publishDate 2020-09-01
description Acute portomesenteric vein thrombosis is potentially lethal. In the present paper, a cirrhotic patient with a previous history of esophageal variceal bleeding presented with acute occlusive portomesenteric vein thrombosis, but achieved complete recanalization by low-molecular-weight heparin followed by rivaroxaban. Notably, no bleeding episode occurred during anticoagulation therapy. This case supported early initiation of anticoagulation in such patients.
topic Liver cirrhosis
Portal vein thrombosis
Anticoagulation
Bleeding
url http://www.sciencedirect.com/science/article/pii/S1665268119322252
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