Current management of portal vein thrombosis in liver transplantation (original) (raw)

Nontumoral portal vein thrombosis (PVT) occurs in 5-26% of cirrhotic patients awaiting liver transplantation (LT) and significantly affects post-transplant outcomes. Management options depend on the Yerdel classification of PVT; Grade I/II can often be resolved with thrombectomy, whereas Grade III may require more complex surgical interventions. Despite historical contraindications to LT for patients with PVT, recent findings indicate that with appropriate surgical techniques, outcomes can be comparable to non-PVT patients. The need for adequate portal inflow is emphasized to avoid complications post-transplant.