Portal Vein Thrombosis

Written By: user

IJCP Editorial Team

Published On: 15 May, 2024 11:37 AM | Updated On: 15 May, 2024 11:37 AM

Portal Vein Thrombosis

Portal vein thrombosis (PVT) is often associated with thrombophilic disorder(s), warranting an extensive thrombophilic work-up.

Anticoagulation should be initiated promptly to address PVT.  Radiological interventions are recommended for those with portal hypertension complications or persistent symptoms. These interventions, while safe and successful in expert hands, are not yet widely standardized.

Portal vein recanalization, combined with transjugular intrahepatic portosystemic shunt (TIPS), improves outcomes in controlling refractory bleeding compared to recanalization without TIPS.

It is advisable to avoid portal vein stent placement in patients undergoing TIPS if they are considered transplant candidates.

Portal vein recanalization may be considered in acute symptomatic PVT with persistent symptoms despite adequate anticoagulation. It is also an option in acute symptomatic PVT with persistent thrombus if the main portal vein is thrombosed despite adequate anticoagulation, but the primary and secondary branches of the portal vein are patent, even in the presence of mild symptoms.

Prompt therapy is associated with good outcomes in PVT cases.

IJCP Editorial Team

Comprising seasoned professionals and experts from the medical field, the IJCP editorial team is dedicated to delivering timely and accurate content and thriving to provide attention-grabbing information for the readers. What sets them apart are their diverse expertise, spanning academia, research, and clinical practice, and their dedication to upholding the highest standards of quality and integrity. With a wealth of experience and a commitment to excellence, the IJCP editorial team strives to provide valuable perspectives, the latest trends, and in-depth analyses across various medical domains, all in a way that keeps you interested and engaged.