New Non-surgical Procedure for Portal Vein Thrombosis

With great optimism I share this news with you today.  Dr. Riad Salem at Northwestern University in Chicago Illinois, and a team of over a dozen doctors have recently developed and tested a new non-surgical procedure for the treatment of portal vein thrombosis (PVT).

A few days ago Dr. Salem reached out to me via this blog with the results of the clinical study.   His words below encapsulate this new technique.   

“At Northwestern, we have pioneered a new, non-surgical approach for the treatment of portal vein thrombosis with or without cavernomatous transformation.  It involves creating a new channel in the clotted portal vein, and placing a transjugular intrahepatic portosystemic shunt (TIPS) stent. We do this using ultrasound and X-ray guidance. Our first series of 61 patients has already been published with excellent success, and many of these patients have gone on to liver transplantation since they had cirrhosis of the liver. We are now performing this on adults without cirrhosis with cavernoma. Some of these patients have varices that have bled. This is a procedure you should be evaluated for if you are considering a Rex shunt, since this is a non-surgical alternative”.

Contact Information

Riad Salem MD MBA
Professor of Radiology, Medicine and Surgery
Chief, Section of Vascular and Interventional Radiology
Vice-Chairman, Image-Guided Therapy
Department of Radiology
Northwestern University
676 N St Clair, Suite 800
Chicago, IL USA 60611
1-312-695-6371 office

Dr. Salem is glad to answer questions for patients and has asked that you contact him directly at rsalem1@nm.org 

If you have a story to share about your personal journey with portal hypertension or have had the procedure please feel free to post it. 

“If you can’t fly then run, if you can’t run then walk, if you can’t walk then crawl, but whatever you do you have to keep moving forward”.  – Martin Luther King Jr.

8 thoughts on “New Non-surgical Procedure for Portal Vein Thrombosis

  1. IFTIKHAR ALAM

    Hello. My uncle is diagnosed with extensive portal vein tumor thrombosis. He just had jaundice few days ago his eyes are yellow.. Here in pakistan they are saying there is no any treatment and patient should be on palliative care.
    Can you please guide me on this? What are the best available options.

    Reply
    1. Clint Post author

      Hello,

      I am very sorry to hear about your uncle. At this time, I have no contacts within your country for you to consider. From time to time I have had people get jn touch with me from India, but I do not have anyone with the expertise who I can refer you to in that country. You can try contacting doctors from this list, especially in Italy, Australia, and see if they can refer you to a liver specialist in your country or close by. This is the best I can do at this time. Please let me know if you are able to reach someone. My thoughts and prayers are with your uncle and family at this time. https://www.portal-hypertension.com/rex-shunt-specialist-list/

      Reply
  2. Tenzin

    Helo client
    My son has been diagnosed portal vein thrombosis last year in the month of October and he is on warfarin.doctor asked to review after 6 months and due to lockdown we could not do the review and after 7 months we did ultrasound but his thrombosis is not resolved.he is a symptomatic but doctor told me to do his endoscopy but no hurry.

    Reply
    1. Clint Post author

      Sorry to hear about your son. Your doctor has given you good advice. They need to scope your son to examine the condition of the varices that may be in the esophagus and upper part of the stomach assuming there is an actual clot in the portal vein. I am not a doctor, but depending on where you live and other physical factors, there may be a few options that may work to alleviate the underlying issue? There are a few options, one being relatively new, and the other has proven to also work in most cases. There are big obstacles if you need to travel anywhere especially now, and because your son is considered high risk, that may play into going elsewhere for treatment. Once your son has been scoped this should determine what the next steps should be. Here are the 2 options currently being used.

      https://www.portal-hypertension.com/2020/03/non-surgical-procedure-portal-vein-thrombosis/

      https://www.portal-hypertension.com/the-rex-shunt-procedure-for-portal-hypertension/

      Your questions and comments are most welcome.

      Clint

      Reply
      1. Anil

        Hii
        I have History of Pvt have abdominal pain in right side discomfort migraine shortness of breath.
        Liver kidney spleen gall bladder are normal
        Please suggest me permanent solution for Pvt
        Thanks
        Anil

        Reply
        1. Clint Post author

          Hi Anil,

          In my latest post you can read where a doctor in Chicago called Dr. Riad Salem has developed a nonevasive procedure that may possible work for you. He is based in Chicago Illinois, and he may be able to refer to doctors elsewhere who may be able to help you. Dr. Salem’s contact information is included with the post. See: https://www.portal-hypertension.com/2020/03/non-surgical-procedure-portal-vein-thrombosis/ Hope this helps? Another procedure that might work, is called the Rex Shunt procedure, performed my another doctor in the Chicago area (Dr.Richardo Superina), and many parts of the world. See the following: https://www.portal-hypertension.com/the-rex-shunt-procedure-for-portal-hypertension/ Also: https://www.portal-hypertension.com/rex-shunt-specialist-list/ If you are able to contact these doctors I am sure they will be able to assist you. Best regards, Clint

          Reply
      1. Clint Post author

        In my latest post you can read where a doctor in Chicago called Dr. Riad Salem has developed a nonevasive procedure that may possible work for you. He is based in Chicago Illinois, and he may be able to refer to doctors elsewhere who may be able to help you. Dr. Salem’s contact information is included with the post. See: https://www.portal-hypertension.com/2020/03/non-surgical-procedure-portal-vein-thrombosis/ Hope this helps? Another procedure that might work, is called the Rex Shunt procedure, performed my another doctor in the Chicago area (Dr.Richardo Superina), and many parts of the world. See the following: https://www.portal-hypertension.com/the-rex-shunt-procedure-for-portal-hypertension/ Also: https://www.portal-hypertension.com/rex-shunt-specialist-list/ If you are able to contact these doctors I am sure they will be able to assist you. Best regards, Clint

        Reply

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