Endovascular Management of Noncirrhotic Acute Portomesenteric Venous Thrombosis

J Vasc Interv Radiol. 2025 Jan;36(1):17-30. doi: 10.1016/j.jvir.2024.09.023. Epub 2024 Oct 9.

Abstract

Acute portomesenteric venous thrombosis (PVT) is a rare but potentially life-threatening condition in individuals without cirrhosis. Initial management typically involves anticoagulation therapy, but the optimal approach to interventional treatment remains a topic of ongoing research. This article explores both traditional and emerging endovascular techniques, providing an overview of the existing evidence supporting their use. Additionally, it delves into the significance of acute PVT in the context of contemporary pathologies, notably coronavirus disease 2019 infection, vaccine-induced immune thrombotic thrombocytopenia, and liver transplantation.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Anticoagulants / therapeutic use
  • COVID-19 / complications
  • Endovascular Procedures*
  • Humans
  • Mesenteric Vascular Occlusion / diagnostic imaging
  • Mesenteric Vascular Occlusion / etiology
  • Mesenteric Vascular Occlusion / therapy
  • Mesenteric Veins* / diagnostic imaging
  • Portal Vein* / diagnostic imaging
  • Risk Factors
  • Treatment Outcome
  • Venous Thrombosis* / diagnostic imaging
  • Venous Thrombosis* / etiology
  • Venous Thrombosis* / therapy

Substances

  • Anticoagulants