Available online 1 October 2025, 101084

Chronic portal vein thrombosis (PVT) is a challenging condition to diagnose and manage due to the presence of complex, concomitant comorbidities and rapidly evolving clinical evidence. The purpose of this article is to review the clinical presentation, guidelines and evidence supporting invasive and noninvasive management strategies for PVT, including information about the technical evolution and outcomes for portal venous recanalization (PVR) with transjugular intrahepatic portosystemic shunt (TIPS) creation (PVR-TIPS), particularly in the setting of newly available literature and guidelines. Additionally, we describe our technique for PVR-TIPS.

portal vein thrombosis

portal vein recanalization

PVR-TIPS

© 2025 The Author(s). Published by Elsevier Inc.