{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T17:26:28Z","timestamp":1775755588248,"version":"3.50.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Freiburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Radiol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Portal vein arterialization is a rarely used, temporary surgical salvage solution to prevent biliary and hepatic ischemia and necrosis in acute liver de-arterialization. However, it can induce portal hypertension, causing increased morbidity and mortality. We report the case of a 5-year-old girl with portal hypertension and right ventricle volume overload following the creation of an iliacoportal shunt graft for portal vein arterialization due to vessel-adhering neuroblastoma. Partial shunt graft closure was accomplished by placing a stent graft in an hourglass configuration via the right femoral artery using two slender-sheaths in a line with the second more distal than the first. Subsequently, the patient\u2019s symptoms of right ventricle volume overload and portal hypertension decreased. In conclusion, endovascular reduction of elevated portal blood flow after portal vein arterialization is feasible, even in pediatric patients.<\/jats:p>\n                <jats:p><jats:bold>Graphical abstract<\/jats:bold><\/jats:p>","DOI":"10.1007\/s00247-023-05733-3","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T02:02:08Z","timestamp":1692842528000},"page":"2305-2308","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Controlled flow reduction of an iliacoportal shunt graft for portal vein arterialization in a pediatric patient"],"prefix":"10.1007","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4824-3813","authenticated-orcid":false,"given":"Charlotte","family":"Kulka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Lagr\u00e8ze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8424-5827","authenticated-orcid":false,"given":"Niklas","family":"Verloh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Doppler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-4448","authenticated-orcid":false,"given":"Simone","family":"Hettmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6710-562X","authenticated-orcid":false,"given":"Stefan","family":"Fichtner-Feigl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6756-9005","authenticated-orcid":false,"given":"Wibke","family":"Uller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"key":"5733_CR1","doi-asserted-by":"crossref","unstructured":"Bhangui P, Salloum C, Lim C et al (2014) Portal vein arterialization: a salvage procedure for a totally de-arterialized liver. The Paul Brousse Hospital experience. HPB 16:723\u2013738","DOI":"10.1111\/hpb.12200"},{"key":"5733_CR2","doi-asserted-by":"publisher","first-page":"E173","DOI":"10.1503\/cjs.012419","volume":"64","author":"A Majlesara","year":"2021","unstructured":"Majlesara A, Ghamarnejad O, Khajeh E et al (2021) Portal vein arterialization as a salvage procedure in hepatopancreatobiliary surgery: a systematic review. Can J Surg 64:E173\u2013E182","journal-title":"Can J Surg"},{"key":"5733_CR3","doi-asserted-by":"crossref","unstructured":"Muller V, Ott R, Tannapfel A et al (2001) Arterialization of the portal vein in liver transplantation: a new microsurgical model in the rat.Transplantation 71:977","DOI":"10.1097\/00007890-200104150-00024"},{"key":"5733_CR4","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s001470050448","volume":"11","author":"R Troisi","year":"1998","unstructured":"Troisi R, Kerremans I, Mortier E et al (1998) Arterialization of the portal vein in pediatric liver transplantation. 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Pediatr Radiol 40:237\u2013250","journal-title":"Pediatr Radiol"},{"key":"5733_CR7","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s43044-021-00134-z","volume":"73","author":"J Reifart","year":"2021","unstructured":"Reifart J, Schilling K, Hamm CW, Reifart N (2021) Experience with the novel unifemoral parallel sheath technique in percutaneous intervention of chronic total coronary occlusions. Egypt Heart J 73:14","journal-title":"Egypt Heart J"},{"key":"5733_CR8","doi-asserted-by":"crossref","unstructured":"Young AL, Prasad RK, Adair R et al (2008) Portal vein arterialization as a salvage procedure during left hepatic trisectionectomy for hilar cholangiocarcinoma. J Am Coll Surg 207:e1","DOI":"10.1016\/j.jamcollsurg.2008.07.019"}],"container-title":["Pediatric Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00247-023-05733-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00247-023-05733-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00247-023-05733-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T02:03:07Z","timestamp":1696903387000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00247-023-05733-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,24]]},"references-count":8,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,10]]}},"alternative-id":["5733"],"URL":"https:\/\/doi.org\/10.1007\/s00247-023-05733-3","relation":{},"ISSN":["1432-1998"],"issn-type":[{"value":"1432-1998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,24]]},"assertion":[{"value":"11 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 July 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 July 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}