Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant

Portal Vein thrombosis (PVT) increases the difficulty of liver transplant; however, it is not an absolute contraindication. Cavoportal hemitransposition (CPH) is an option for patients with complete PVT and no alternative collateral vein. Our center often performs the piggyback technique for the hep...

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Main Authors: Jeffrey Campsen, Igal Kam
Format: Article
Language:English
Published: Hindawi Limited 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/595289
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spelling doaj-a13289dc2d3c4c249450a568f4b902102020-11-24T20:59:07ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/595289595289Combined Piggyback Technique and Cavoportal Hemitransposition for Liver TransplantJeffrey Campsen0Igal Kam1Division of Transplant Surgery, Department of Transplant, University of Colorado Denver, 1635 Aurora Ct, C318, Aurora, CO 80045, USADivision of Transplant Surgery, Department of Transplant, University of Colorado Denver, 1635 Aurora Ct, C318, Aurora, CO 80045, USAPortal Vein thrombosis (PVT) increases the difficulty of liver transplant; however, it is not an absolute contraindication. Cavoportal hemitransposition (CPH) is an option for patients with complete PVT and no alternative collateral vein. Our center often performs the piggyback technique for the hepatic vein reconstruction, which allows for great access to the recipient vena cava in patients with known complete PVT that may need a CPH preformed to successfully restore flow to the portal system of the donor liver. We describe the use of the piggy-back technique to prepare the vena cava for possible CPH in patients with known complete PVT.http://dx.doi.org/10.1155/2010/595289
collection DOAJ
language English
format Article
sources DOAJ
author Jeffrey Campsen
Igal Kam
spellingShingle Jeffrey Campsen
Igal Kam
Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant
Case Reports in Medicine
author_facet Jeffrey Campsen
Igal Kam
author_sort Jeffrey Campsen
title Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant
title_short Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant
title_full Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant
title_fullStr Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant
title_full_unstemmed Combined Piggyback Technique and Cavoportal Hemitransposition for Liver Transplant
title_sort combined piggyback technique and cavoportal hemitransposition for liver transplant
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2010-01-01
description Portal Vein thrombosis (PVT) increases the difficulty of liver transplant; however, it is not an absolute contraindication. Cavoportal hemitransposition (CPH) is an option for patients with complete PVT and no alternative collateral vein. Our center often performs the piggyback technique for the hepatic vein reconstruction, which allows for great access to the recipient vena cava in patients with known complete PVT that may need a CPH preformed to successfully restore flow to the portal system of the donor liver. We describe the use of the piggy-back technique to prepare the vena cava for possible CPH in patients with known complete PVT.
url http://dx.doi.org/10.1155/2010/595289
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