Ultrasound-guided intraoperative inferior vena cava stent implantation for treatment of acute hypotension during orthotopic liver transplantation

Autor: Siwen Wang, MD, Xiaofeng Zhu, MD, Ruijia Feng, MD, Yuansen Qin, MD, Shenming Wang, MD, Zuojun Hu, MD
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 2, Pp 101184- (2023)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2023.101184
Popis: Severe obstruction of inferior vena cava (IVC) outflow after orthotopic liver transplantation can result in persistent hypotension, leading to transplantation failure and intraoperative circulatory instability and can even threaten the patient's life. IVC stent implantation is a therapeutic approach to relieve the obstruction of IVC outflow. In the present report, we describe two cases of IVC stent implantation assisted by color Doppler ultrasound during orthotopic liver transplantation to manage the persistent hypotension caused by acute obstruction of IVC outflow. At 1 and 3 months of follow-up, the stent position was optimal, and the stent and IVC patency were satisfactory without thrombosis.
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