Side‐to‐side cavocavostomy with an endovascular stapler: Rescue technique for severe hepatic vein and/or inferior vena cava outflow obstruction after liver transplantation using the piggyback technique
Cristiano Quintini, Charles M. Miller, Koji Hashimoto, Ding Philip, Teresa Diago Uso, Federico Aucejo, Dympna Kelly, Charles Winans, Bijan Eghtesad, David Vogt, John Fung – 24 December 2008 – Venous outflow obstruction is a rare but potentially lethal complication after orthotopic liver transplantation (OLT) with the “piggyback” technique. Therapeutic options include angioplasty with or without stent placement, surgical reconstruction of the venous anastomosis, and retransplantation. Surgical options are technically very challenging and the outcomes discouraging.