{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T07:36:32Z","timestamp":1778052992846,"version":"3.51.4"},"reference-count":48,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Portal vein thrombosis (PVT) is a heterogeneous condition with multiple possible etiologies and to varying degrees has historically limited candidacy for liver transplant (LT) in the cirrhotic patient population due to resultant difficulties in constructing a robust portal vein anastomosis. While intraoperative approaches to managing PVT are well-described, methods which approximate normal portal physiology are not always feasible depending on the extent of PVT, and other nonphysiologic techniques are linked with substantial morbidity and poor long-term outcomes. Portal vein recanalization\u2013transjugular intrahepatic portosystemic shunt (PVR-TIPS) creation is an efficacious method of restoring physiologic portal flow in cirrhotic patients prior to LT allowing for end-to-end PV anastomosis, and is the product of decades-long institutional expertise in TIPS\/LT and the support of a multidisciplinary liver tumor board. To follow is a review of the pertinent pathophysiology of PVT in cirrhosis, the rationale leading to the development and subsequent evolution of the PVR-TIPS procedure, technical lessons learned, and a summary of outcomes to date.<\/jats:p>","DOI":"10.1055\/s-0043-1764409","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T22:35:16Z","timestamp":1683239716000},"page":"038-043","source":"Crossref","is-referenced-by-count":17,"title":["Portal Vein Recanalization\u2013Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) Facilitates Liver Transplantation in Cirrhotic Patients with Occlusive Portal Vein Thrombosis"],"prefix":"10.1055","volume":"40","author":[{"given":"Adam","family":"Swersky","sequence":"additional","affiliation":[{"name":"Section of Interventional Radiology, Department of Radiology, Northwestern Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Borja-Cacho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zach","family":"Deitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartley","family":"Thornburg","sequence":"additional","affiliation":[{"name":"Section of Interventional Radiology, Department of Radiology, Northwestern Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riad","family":"Salem","sequence":"additional","affiliation":[{"name":"Section of Interventional Radiology, Department of Radiology, Northwestern Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.3748\/wjg.v16.i2.143","article-title":"Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment","volume":"16","author":"F R Ponziani","year":"2010","journal-title":"World J Gastroenterol"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1038\/ncpgasthep0577","article-title":"Nonmalignant portal vein thrombosis in adults","volume":"3","author":"B Condat","year":"2006","journal-title":"Nat Clin Pract Gastroenterol Hepatol"},{"issue":"09","key":"ref3","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1111\/j.1365-2036.2009.04116.x","article-title":"Review article: the modern management of portal vein thrombosis","volume":"30","author":"Y Chawla","year":"2009","journal-title":"Aliment Pharmacol 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