03:27 PM Abstract No. 271 Transjugular intrahepatic portosystemic shunt (TIPS) creation, thrombolysis and thrombectomy in the management of severe, symptomatic portomesenteric venous thrombosis after bariatric surgery: retrospective review of patient outcomes

Portomesenteric venous thrombosis (PMVT) can be potentially life-threatening in both the acute and chronic setting due to complications of mesenteric ischemia and infarction, portal hypertension and gastrointestinal hemorrhage. Bariatric patients are at an increased risk of thromboembolic disease and postoperative PMVT has been described following both open bariatric surgery and laparoscopic techniques. While therapeutic anticoagulation is recommended in stable patients with acute PMVT, symptomatic thrombosis with concern for bowel ischemia requires more aggressive therapy such as TIPS, endovascular thrombolysis and thrombectomy.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Scientific Session 28: Cirrhosis Central Source Type: research