ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Portal Vein Thrombosis (PVT) in Liver Transplantation – Recent Experience

D. Bruce, H. Bohorquez, J. Seal, A. Cohen, E. Bugeaud, I. Carmody, D. Sonnier, A. Mathur, L. De Gregorio, H. Sharma, G. Loss.

Ochsner Multi-Organ Transplant Institute, Ochsner Medical Center, New Orleans, LA.

Meeting: 2018 American Transplant Congress

Abstract number: A237

Keywords: Liver transplantation, Portal veins, Post-operative complications

Session Information

Session Name: Poster Session A: Liver Retransplantation and Other Complications

Session Type: Poster Session

Date: Saturday, June 2, 2018

Session Time: 5:30pm-7:30pm

 Presentation Time: 5:30pm-7:30pm

Location: Hall 4EF

From 01-Nov-2012 to 31-Oct-2017, 1025 liver transplants were done at our center. Excluding retransplants and combined liver-kidney transplants, 830 transplants were studied for this abstract to determine outcomes in patients with complete (n = 27) or partial (n = 67) PVT at time of OLT. Inflow was restored with thromboendvenectomy in all except one patient with a SMV jump graft. Patients received aspirin but no other anticoagulation. Doppler ultrasound was done on days 1 and 7, and as clinically indicated.

Donor and Recipient Characteristics:

(all values medians) Patent Partial PVT Complete PVT
n 736 67 27
Recipient Age 58 61 60
MELD-Na at Txp 19 20 18
Donor Age 47 45 45
DRI 1.605 1.480 1.485
DCD % 12 12 12
Cold Ischemia (min) 313 336 312
Warm Ischemia (min) 29 32 29
Local OPO % 43 48 41

Results:

(all values medians) Patent Partial PVT Complete PVT
n 736 67 27
Post-Txp Length of Stay 8 9 11
IntraOperative RBC Transfusion 2 3 4
Procedure Duration 287 307 310
Patient Survival 1 year 93.9% 87.2% 79.9%
Patient Survival 3 year 88.3% 73.8% 74.9%
Graft Survival 1 year 91.9% 82.7% 72.7%
Graft Survival 3 year 86.3% 69.2% 67.8%

All patent vs. partial patent differences p = NS; for patent vs. full PVT, p < 0.05 (procedure time), p < 0.01 (RBC use), p < 0.001 (LOS). No patient had recurrent PVT.

Discussion

OLT in the setting of PVT can be done in nearly all cases without the need for jump grafts. Immediate outcomes are very similar to controls, but 1- and 3-yr survival is decreased. RBC use, procedure duration, and hospital stay are increased by complete PVT but much less so by partial PVT. The late differences in survival were not attributable to recurrent PVT in this series. While less than that of controls, long-term survival was obtained in over two-thirds of recipients with PVT.

CITATION INFORMATION: Bruce D., Bohorquez H., Seal J., Cohen A., Bugeaud E., Carmody I., Sonnier D., Mathur A., De Gregorio L., Sharma H., Loss G. Portal Vein Thrombosis (PVT) in Liver Transplantation – Recent Experience Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Bruce D, Bohorquez H, Seal J, Cohen A, Bugeaud E, Carmody I, Sonnier D, Mathur A, Gregorio LDe, Sharma H, Loss G. Portal Vein Thrombosis (PVT) in Liver Transplantation – Recent Experience [abstract]. https://atcmeetingabstracts.com/abstract/portal-vein-thrombosis-pvt-in-liver-transplantation-recent-experience/. Accessed June 2, 2025.

« Back to 2018 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences