Ultrasound-guided intraoperative inferior vena cava stent implantation for treatment of acute hypotension during orthotopic liver transplantation

Siwen Wang, MD; Xiaofeng Zhu, MD; Ruijia Feng, MD; Yuansen Qin, MD; Shenming Wang, MD; Zuojun Hu, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2023)

Ultrasound-guided intraoperative inferior vena cava stent implantation for treatment of acute hypotension during orthotopic liver transplantation

Siwen Wang, MD,
Xiaofeng Zhu, MD,
Ruijia Feng, MD,
Yuansen Qin, MD,
Shenming Wang, MD,
Zuojun Hu, MD

Affiliations

Siwen Wang, MD: National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
Xiaofeng Zhu, MD: Department of Liver Transplantation, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
Ruijia Feng, MD: National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
Yuansen Qin, MD: National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
Shenming Wang, MD: National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China
Zuojun Hu, MD: National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China; Correspondence: Zuojun Hu, MD, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, Department of Vascular Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China

Journal volume & issue: Vol. 9, no. 2
p. 101184

Abstract

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Severe obstruction of inferior vena cava (IVC) outflow after orthotopic liver transplantation can result in persistent hypotension, leading to transplantation failure and intraoperative circulatory instability and can even threaten the patient's life. IVC stent implantation is a therapeutic approach to relieve the obstruction of IVC outflow. In the present report, we describe two cases of IVC stent implantation assisted by color Doppler ultrasound during orthotopic liver transplantation to manage the persistent hypotension caused by acute obstruction of IVC outflow. At 1 and 3 months of follow-up, the stent position was optimal, and the stent and IVC patency were satisfactory without thrombosis.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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