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. 2025 Aug 29;8(1):70.
doi: 10.1186/s42155-025-00590-7.

Bifurcated hepatocaval stent reconstruction for treatment of hepatic venous outflow obstruction in orthotopic liver transplantation

Jonathan C Giang  1 , Dillon M Brown  2 , Jeffrey Forris Beecham Chick  2   3 , Eric J Monroe  2 , David S Shin  2   3 , Mina S Makary  4
Affiliations

Bifurcated hepatocaval stent reconstruction for treatment of hepatic venous outflow obstruction in orthotopic liver transplantation

Jonathan C Giang et al. CVIR Endovasc. .
No abstract available

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was Institutional Review Board-approved and the need for informed consent was waived. Consent for publication: Not applicable. Competing interests: EJM is a scientific advisor and speaker for Biogen. JFBC is a consultant and speaker for Inari Medical, Guerbet, C. R. Bard, and Argon Medical Devices.

Figures

Fig. 1.
Fig. 1.
69-year-old male with alcoholic cirrhosis and HCC requiring orthotopic liver transplantation with piggyback anastomosis presented with ascites and transaminitis, and found to have IVC stenosis [solid arrow] resulting in outflow obstruction and hepatic congestion [dotted arrow] on contrast-enhanced CT (A). Diagnostic venography further confirmed IVC stenosis (B), which resolved with stenting utilizing a Wallstent (C). Further selection of the right hepatic vein through the IVC stent was achieved (D), and a right hepatic vein Wallstent was placed through the primary stent (E)
Fig. 2.
Fig. 2.
48-year-old male with hepatitis C cirrhosis, status post hepatic transplantation with a piggyback anastomosis presented with ascites, and underwent bifurcated hepatocaval stent reconstruction with two overlapping Z-stents in the IVC [solid arrow] and a Venovo stent in the right hepatic vein [dotted arrow] as seen on diagnostic venography (A) and contrast-enhanced CT (B)
See this image and copyright information in PMC

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