Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy
<h3>Background</h3><p dir="ltr">Portomesenteric Vein Thrombosis (PMVT) following Laparoscopic Sleeve Gastrectomy (LSG) is an uncommon but potentially debilitating complication. Catheter-Directed Thrombolysis (CDT) has an evolving role in recanalizing the venous flow and p...
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2022
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| author | Ali Barah (14777533) |
| author2 | Israa Al-Hashimi (18131374) Rahil Kassamali (21347984) Qayed Aldebyani (21347987) Omran Almokdad (18282253) Ayman Elmagdoub (17430981) Mohammed Khader (21347990) Saad U. Rehman (21347993) Ahmed Omar (2739223) |
| author2_role | author author author author author author author author |
| author_facet | Ali Barah (14777533) Israa Al-Hashimi (18131374) Rahil Kassamali (21347984) Qayed Aldebyani (21347987) Omran Almokdad (18282253) Ayman Elmagdoub (17430981) Mohammed Khader (21347990) Saad U. Rehman (21347993) Ahmed Omar (2739223) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ali Barah (14777533) Israa Al-Hashimi (18131374) Rahil Kassamali (21347984) Qayed Aldebyani (21347987) Omran Almokdad (18282253) Ayman Elmagdoub (17430981) Mohammed Khader (21347990) Saad U. Rehman (21347993) Ahmed Omar (2739223) |
| dc.date.none.fl_str_mv | 2022-09-29T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1186/s12959-022-00415-w |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Catheter-Directed_Thrombolysis_in_the_treatment_of_acute_Portomesenteric_Vein_Thrombosis_after_Laparoscopic_Sleeve_Gastrectomy/29045465 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Pharmacology and pharmaceutical sciences Laparoscopic Sleeve Gastrectomy Portomesenteric Vein Thrombosis Catheter-Directed Thrombolysis |
| dc.title.none.fl_str_mv | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Portomesenteric Vein Thrombosis (PMVT) following Laparoscopic Sleeve Gastrectomy (LSG) is an uncommon but potentially debilitating complication. Catheter-Directed Thrombolysis (CDT) has an evolving role in recanalizing the venous flow and preventing thrombus propagation. Therefore, it can be used as an alternative or in combination with systemic anticoagulants in selected patients. We report two trans-hepatic and trans-splenic CDT. The patient’s clinical details, radiological findings, safety, and efficacy are reported.</p><h3>Cases presentation</h3><p dir="ltr">Two patients presented to the Emergency Department (ED) within 14 days of surgery. The presenting complaints were generally nonspecific. The diagnosis of PMVT was established in both patients based on abdominal Contrast-Enhanced Computed Tomography (CECT). The two patients received a combined therapy of subcutaneous (SC) heparinization and CDT using a trans-hepatic approach in case 1 and a trans-splenic approach in case 2. Subsequent post-procedure venograms and CECT were performed and showed significant thrombus resolution. Both patients received oral anticoagulant therapy upon discharge with a successful overall recovery.</p><h3>Conclusion</h3><p dir="ltr">PMVT is an infrequent and severe post LSG complication. Various approaches for re-establishing the portal venous flow have been described according to the severity of venous thrombosis. This article describes CDT therapy as a safe and effective option for treating PMVT in symptomatic patients.</p><h2>Other Information</h2><p dir="ltr">Published in: Thrombosis Journal<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12959-022-00415-w" target="_blank">https://dx.doi.org/10.1186/s12959-022-00415-w</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_5e0a5a56374bc0024a67cf6c469f22e9 |
| identifier_str_mv | 10.1186/s12959-022-00415-w |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29045465 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve GastrectomyAli Barah (14777533)Israa Al-Hashimi (18131374)Rahil Kassamali (21347984)Qayed Aldebyani (21347987)Omran Almokdad (18282253)Ayman Elmagdoub (17430981)Mohammed Khader (21347990)Saad U. Rehman (21347993)Ahmed Omar (2739223)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesPharmacology and pharmaceutical sciencesLaparoscopic Sleeve GastrectomyPortomesenteric Vein ThrombosisCatheter-Directed Thrombolysis<h3>Background</h3><p dir="ltr">Portomesenteric Vein Thrombosis (PMVT) following Laparoscopic Sleeve Gastrectomy (LSG) is an uncommon but potentially debilitating complication. Catheter-Directed Thrombolysis (CDT) has an evolving role in recanalizing the venous flow and preventing thrombus propagation. Therefore, it can be used as an alternative or in combination with systemic anticoagulants in selected patients. We report two trans-hepatic and trans-splenic CDT. The patient’s clinical details, radiological findings, safety, and efficacy are reported.</p><h3>Cases presentation</h3><p dir="ltr">Two patients presented to the Emergency Department (ED) within 14 days of surgery. The presenting complaints were generally nonspecific. The diagnosis of PMVT was established in both patients based on abdominal Contrast-Enhanced Computed Tomography (CECT). The two patients received a combined therapy of subcutaneous (SC) heparinization and CDT using a trans-hepatic approach in case 1 and a trans-splenic approach in case 2. Subsequent post-procedure venograms and CECT were performed and showed significant thrombus resolution. Both patients received oral anticoagulant therapy upon discharge with a successful overall recovery.</p><h3>Conclusion</h3><p dir="ltr">PMVT is an infrequent and severe post LSG complication. Various approaches for re-establishing the portal venous flow have been described according to the severity of venous thrombosis. This article describes CDT therapy as a safe and effective option for treating PMVT in symptomatic patients.</p><h2>Other Information</h2><p dir="ltr">Published in: Thrombosis Journal<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12959-022-00415-w" target="_blank">https://dx.doi.org/10.1186/s12959-022-00415-w</a></p>2022-09-29T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12959-022-00415-whttps://figshare.com/articles/journal_contribution/Catheter-Directed_Thrombolysis_in_the_treatment_of_acute_Portomesenteric_Vein_Thrombosis_after_Laparoscopic_Sleeve_Gastrectomy/29045465CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290454652022-09-29T09:00:00Z |
| spellingShingle | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy Ali Barah (14777533) Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Pharmacology and pharmaceutical sciences Laparoscopic Sleeve Gastrectomy Portomesenteric Vein Thrombosis Catheter-Directed Thrombolysis |
| status_str | publishedVersion |
| title | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| title_full | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| title_fullStr | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| title_full_unstemmed | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| title_short | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| title_sort | Catheter-Directed Thrombolysis in the treatment of acute Portomesenteric Vein Thrombosis after Laparoscopic Sleeve Gastrectomy |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Pharmacology and pharmaceutical sciences Laparoscopic Sleeve Gastrectomy Portomesenteric Vein Thrombosis Catheter-Directed Thrombolysis |