{"doi":"10.1055/s-0043-1764409","title":"Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) Facilitates Liver Transplantation in Cirrhotic Patients with Occlusive Portal Vein Thrombosis","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–transjugular 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>","journal":"Seminars in Interventional Radiology","year":2023,"id":29563,"datarank":0.9232440959842092,"base_score":2.8903717578961645,"endowment":2.8903717578961645,"self_citation_contribution":0.4335557636844247,"citation_network_contribution":0.4896883322997845,"self_endowment_contribution":0.4335557636844247,"citer_contribution":0.4896883322997845,"corpus_percentile":null,"corpus_rank":null,"citation_count":17,"citer_count":15,"citers_with_citation_signal":10,"citers_with_endowment":10,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":162723,"name":"Daniel Borja-Cacho","orcid":null,"position":1,"is_corresponding":false},{"id":162724,"name":"Zach Deitch","orcid":null,"position":2,"is_corresponding":false},{"id":162725,"name":"Bartley Thornburg","orcid":null,"position":3,"is_corresponding":false},{"id":162726,"name":"Riad Salem","orcid":null,"position":4,"is_corresponding":false},{"id":162722,"name":"Adam Swersky","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"base_score":2.8903717578961645,"endowment":2.8903717578961645,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37152801","pmcid":"PMC10159708","openalex_id":"https://openalex.org/W4371780080","authors":[],"funders":[],"total_grants":0,"fwci":3.1965,"citation_percentile":0.92548972,"influential_citations":0,"citation_trend":[{"year":2024,"count":6},{"year":2025,"count":8},{"year":2026,"count":3}],"oa_status":"green","license":null,"oa_locations":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10159708/pdf/10-1055-s-0043-1764409.pdf","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159708","host_type":"GREEN"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10159708/pdf/10-1055-s-0043-1764409.pdf","host_type":"repository"},{"url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0043-1764409.pdf","host_type":"publisher"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10159708","host_type":"repository"},{"url":"https://doi.org/10.1055/s-0043-1764409","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37152801","host_type":"repository"}],"fields_of_study":["Liver Disease and Transplantation","Liver Disease Diagnosis and Treatment","Organ Transplantation Techniques and Outcomes","Medicine"],"mesh_terms":[],"keywords":["Transjugular intrahepatic portosystemic shunt","Medicine","Portal vein thrombosis","Liver transplantation","Portal hypertension","Portal venous pressure","Cirrhosis","Thrombosis","Portosystemic shunt","Stent","Anastomosis","Radiology","Surgery","Transplantation","Internal medicine","Liver transplant","interventional radiology","Portal Vein Recanalization","Transjugular Portosystemic Intrahepatic Shunt"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"No poverty"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-06-09T00:11:35.251002Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}