Abstract
Objective: To explore the significance of clinical care attending to patients with percutaneous transhepatic portal thrombolysis for thrombosis after liver transplantation. Methods: Retrospective analysis of 24 patients who developed portal vein thrombosis following liver transplantation was conducted. Percutaneous transhepatic portal thrombolysis of the portal vein was performed in all patients. The clinical data, follow-up imaging data and perioperative care were summarized. Results: Nineteen patients(19) recovered well after the treatment with clinical symptoms relieved remarkably and vascular recanalization of the portal vein confirmed by color Doppler ultrasonography. No complications occurred and the catheters were removed successfully in these cases. The esophageal-gastric varices were alleviated in 5 patients. The clinical symptoms of portal vein thrombosis were relieved in varying degrees in all patients after PTPT. Results: All patients were followed up by color Doppler ultrasonography with confirmed patency of the portal vein in all cases. Stenosis and thrombosis were not shown. Conclusions: Intensive perioperative care is of critical importance to successful thrombolysis in patients with portal vein thrombosis after liver transplantation. Key words: Liver transplantation; Venous thrombosis; Nursing
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