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- Title
Portal Vein Thrombosis in the Setting of Cirrhosis: A Comprehensive Review.
- Authors
Odriozola, Aitor; Puente, Ángela; Cuadrado, Antonio; Rivas, Coral; Anton, Ángela; González, Francisco José; Pellón, Raúl; Fábrega, Emilio; Crespo, Javier; Fortea, José Ignacio
- Abstract
Portal vein thrombosis constitutes the most common thrombotic event in patients with cirrhosis, with increased rates in the setting of advanced liver disease. Despite being a well-known complication of cirrhosis, the contribution of portal vein thrombosis to hepatic decompensation and overall mortality is still a matter of debate. The incorporation of direct oral anticoagulants and new radiological techniques for portal vein recanalization have expanded our therapeutic arsenal. However, the lack of large prospective observational studies and randomized trials explain the heterogenous diagnostic and therapeutic recommendations of current guidelines. This article seeks to make a comprehensive review of the pathophysiology, clinical features, diagnosis, and treatment of portal vein thrombosis in patients with cirrhosis.
- Subjects
PORTAL vein; BUDD-Chiari syndrome; THROMBOSIS; CIRRHOSIS of the liver; ORAL medication; HEPATORENAL syndrome
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 21, p6435
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11216435