Vascular Liver Disorders

AASLD develops evidence-based practice guidelines and practice guidances which are updated regularly by a multi-disciplinary panel of experts, including hepatologists, and include recommendations of preferred approaches to the diagnostic, therapeutic, and preventive aspects of care. 

Practice Guidance

Vascular Liver Disorders, Portal Vein Thrombosis, and Procedural Bleeding in Patients With Liver Disease [updated November 2020]

Previous guidelines reviewing vascular disorders of the liver focused on thrombosis of large vessels, such as the portal vein (PV) and hepatic vein (HV). However, increased understanding and research in hemostasis and bleeding in patients with cirrhosis has led to more diagnostic and therapeutic opportunities targeting prevention of bleeding, especially procedural bleeding. Therefore, this guidance covers bleeding related to disturbances in the hemostatic system predisposed by chronic liver disease as well as thrombosis, especially in the splanchnic vasculature.