Suprahepatic caval anastomotic stenosis complicating orthotopic liver transplantation: treatment with percutaneous transluminal angioplasty, Wallstent placement, or both.

OBJECTIVE: Our objective was to evaluate, over a 5-year period, the nonsurgical treatment of three patients with suprahepatic caval anastomotic stenosis who had undergone orthotopic liver transplantation.
CONCLUSION: Balloon angioplasty is a safe and effective method for treating chronic caval stenosis occurring in patients who have undergone orthotopic liver transplantation. Caval stenosis identified in the early postoperative period, especially when such stenosis is associated with caval torsion or kinking, may be effectively treated by stent placement.