Structure and composition of cirrhotic portal vein thrombi

  • Research type

    Research Study

  • Full title

    Structure and composition of cirrhotic portal vein thrombi

  • IRAS ID

    259128

  • Contact name

    William Bernal

  • Contact email

    william.bernal@kcl.ac.uk

  • Sponsor organisation

    King's College Hospital London

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    Portal vein thrombosis (PVT) is a common complication in patients with chronic liver disease, where a clot (or 'Thrombus') forms in the main ('Portal') vein that drains blood into the liver. It may contribute to deterioration of liver function, progression of liver disease and complicate liver transplantation. The exact pathogenesis of PVT remains unknown, and there is no consensus on if and how this condition should be treated or prevented.
    Current treatment strategies with anticoagulants are only effective in ~50% of patients, suggesting that a PVT may be very different by example from a deep vein thrombus in the leg, which is efficiently treated with anitcoagulants. Importantly, the composition of portal vein thrombi has never been studied in detail. This study aims to increase our knowledge on the pathophysiology of the condition. Analysis on composition and structure will be performed on portal vein thrombi that are removed during liver transplant surgery. This better understanding of the condition may allow in the future for improved preventive and treatment strategies.

  • REC name

    London - Chelsea Research Ethics Committee

  • REC reference

    19/LO/0920

  • Date of REC Opinion

    15 May 2019

  • REC opinion

    Favourable Opinion