{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T22:17:19Z","timestamp":1780784239034,"version":"3.54.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002954","name":"Universit\u00e0 degli Studi di Milano - Bicocca","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002954","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Portal hypertension resulting from non-cirrhotic extrahepatic portal vein obstruction is a cause of severe morbidity related to variceal bleeding in children. In patients not eligible for Meso-Rex bypass, rescue interventions for refractory variceal bleeding have traditionally included surgical porto-systemic shunts or transjugular intrahepatic porto-systemic shunt (TIPS), which alter the normal physiology of liver perfusion and expose children to long-term complications. Portal vein recanalization is a recently described technique which aims to restore the hepatopetal flow through the native portal system but its feasibility is often limited. We aim to present two innovative techniques of percutaneous non-anatomical portal vein recanalization for treating non-cirrhotic extrahepatic portal vein obstruction in children who failed anatomical revascularization.<\/jats:p>\n          <jats:p>\n            <jats:bold>Graphical abstract<\/jats:bold>\n          <\/jats:p>","DOI":"10.1007\/s00247-025-06218-1","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T05:17:34Z","timestamp":1742361454000},"page":"1308-1312","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Non-anatomical revascularization of the portal vein in children with non-cirrhotic extrahepatic portal vein obstruction"],"prefix":"10.1007","volume":"55","author":[{"given":"Kessy Djonis","family":"Martins de Mattos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Marra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco Saverio","family":"Carbone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Muglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovico","family":"Dulcetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Fagiuoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"D\u2019Antiga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro","family":"Sironi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"key":"6218_CR1","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1007\/s00247-022-05492-7","volume":"53","author":"GL Natali","year":"2022","unstructured":"Natali GL, Cassanelli G, Paolantonio G et al (2022) Pediatric liver cirrhosis interventional procedures: from biopsy to transjugular intrahepatic portosystemic shunt. Pediatr Radiol 53:727\u2013738","journal-title":"Pediatr Radiol"},{"key":"6218_CR2","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1007\/s00247-022-05575-5","volume":"53","author":"JJ Mart\u00ednez-Rodrigo","year":"2022","unstructured":"Mart\u00ednez-Rodrigo JJ, Boukhoubza A, Enguix DP et al (2022) Feasibility and outcomes of transjugular intrahepatic portosystemic shunts in infants. Pediatr Radiol 53:953\u2013962","journal-title":"Pediatr Radiol"},{"key":"6218_CR3","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1007\/s00247-018-4267-9","volume":"49","author":"JS Ghannam","year":"2019","unstructured":"Ghannam JS, Cline MR, Hage AN et al (2019) Technical success and outcomes in pediatric patients undergoing transjugular intrahepatic portosystemic shunt placement: a 20-year experience. Pediatr Radiol 49:128\u2013135","journal-title":"Pediatr Radiol"},{"key":"6218_CR4","doi-asserted-by":"publisher","first-page":"1699","DOI":"10.1007\/s00383-021-04986-z","volume":"37","author":"M Yamoto","year":"2021","unstructured":"Yamoto M, Chusilp S, Alganabi M et al (2021) Meso-Rex bypass versus portosystemic shunt for the management of extrahepatic portal vein obstruction in children: systematic review and meta-analysis. Pediatr Surg Int 37:1699\u20131710","journal-title":"Pediatr Surg Int"},{"key":"6218_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-024-11040-8","author":"P Marra","year":"2024","unstructured":"Marra P, Franchi-Abella S, Hernandez JA et al (2024) Percutaneous recanalization of non-cirrhotic extrahepatic portal vein obstruction in children: technical considerations in a preliminary cohort. Eur Radiol. https:\/\/doi.org\/10.1007\/s00330-024-11040-8","journal-title":"Eur Radiol"},{"key":"6218_CR6","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-024-03789-8","author":"T Rizk","year":"2024","unstructured":"Rizk T, Gayed A, Stringfellow S et al (2024) Review of sharp recanalization techniques in central venous occlusions. Cardiovasc Intervent Radiol. https:\/\/doi.org\/10.1007\/s00270-024-03789-8","journal-title":"Cardiovasc Intervent Radiol"},{"key":"6218_CR7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhepr.2022.100511","volume":"4","author":"F Artru","year":"2022","unstructured":"Artru F, Vietti-Violi N, Sempoux C et al (2022) Portal vein recanalisation alone to treat severe portal hypertension in non-cirrhotic patients with chronic extrahepatic portal vein obstruction. JHEP Reports 4:100511","journal-title":"JHEP Reports"},{"key":"6218_CR8","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1007\/s00270-024-03766-1","volume":"47","author":"MM Khavandi","year":"2024","unstructured":"Khavandi MM, Habibollahi P (2024) Trans-splenic sharp recanalization, extra-anatomic portal vein reconstruction, and intrahepatic portosystemic shunt creation for the treatment of portal hypertension in a patient with polycythemia vera and JAK2 mutation. Cardiovasc Intervent Radiol 47:1148\u20131151","journal-title":"Cardiovasc Intervent Radiol"}],"container-title":["Pediatric Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00247-025-06218-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00247-025-06218-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00247-025-06218-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T09:51:25Z","timestamp":1748425885000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00247-025-06218-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,19]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["6218"],"URL":"https:\/\/doi.org\/10.1007\/s00247-025-06218-1","relation":{},"ISSN":["1432-1998"],"issn-type":[{"value":"1432-1998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,19]]},"assertion":[{"value":"25 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}