Early catheter-directed portal vein thrombolysis in myeloproliferative disorder-related diffuse mesenteric venous ischemia: A case report

doi:10.3748/wjg.v32.i4.114906

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastroenterol. Jan 28, 2026; 32(4): 114906
Published online Jan 28, 2026. doi: 10.3748/wjg.v32.i4.114906

Table 2 Clinical and therapeutic parameters of portal vein thrombolysis, including the catheter access method, recanalization, and complication rate

Ref.	Case	MPD (%)	Total occlusive PVT	CDT timing (day)	CDT		Complete recanalization rate, AC/CDT (%)	Failure rate, AC/CDT (%)	Bleeding complications[13]
Ref.	Case	MPD (%)	Total occlusive PVT	CDT timing (day)	Transhepatic approach	TIPS	Complete recanalization rate, AC/CDT (%)	Failure rate, AC/CDT (%)	Grade 1/2, AC/CDT (%)	Grade 3/4, AC/CDT (%)	Death, AC/CDT (%)
Rössle et al[7], 2020	65	23	52	8.9		35	30.0/54.0	15.0/14.3	0/22.5	0/2.5	0/0
Benmassaoud et al[8], 2019	22	22.7	17	4		11	13.7/70.0	63.6/9.1	Total 318	0/18.1	0/0
Wu et al[9], 2025	25	12	18	6		25	-/48	-/16	-/16	0/0	0/0
Klinger et al[10], 2017	29	20.7	16	7		17	-/52.9	-/11.8	-/5.9	-/0	-/0
Mansour et al[11], 2022	21	14.3	14	13	9	12	-/35.0	9.5	-/23.8	-/19.0	-/1.0
Gerwing et al[12], 2019	8	0	5	0	6	2	-/62.5	-/12.5	-/12.5	-/37.5	-/1.0

AC: Anticoagulation; CDT: Catheter-direct thrombolysis; MPD: Mesenteric/portal vein thrombosis; PVT: Portal vein thrombosis; TIPS: Transjugular intrahepatic portosystemic shunt.

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Citation: Chiu YC, Chang WC, Chiu YC. Early catheter-directed portal vein thrombolysis in myeloproliferative disorder-related diffuse mesenteric venous ischemia: A case report. World J Gastroenterol 2026; 32(4): 114906
URL: https://www.wjgnet.com/1007-9327/full/v32/i4/114906.htm
DOI: https://dx.doi.org/10.3748/wjg.v32.i4.114906

Chiu YC, Chang WC, Chiu YC. Early catheter-directed portal vein thrombolysis in myeloproliferative disorder-related diffuse mesenteric venous ischemia: A case report. World J Gastroenterol 2026; 32(4): 114906 [PMID: 41640868 DOI: 10.3748/wjg.v32.i4.114906]

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