Transjugular Intrahepatic Portosystemic Shunt Using the Trans-splenic Approach and a Snare Technique
نویسندگان
چکیده
The main indication of transjugular intrahepatic portosystemic shunt (TIPS) is the treatment of variceal bleeding and refractory ascites in cirrhotic patients. In the presence of portal vein thrombosis in patients with cirrhosis, the risk of variceal bleeding increases and portal vein access during the procedure can be difficult. Various approaches including transhepatic, trans-splenic approach, and transmesenteric ileocolic vein have been utilized to create TIPS in patients with portal vein thrombosis. We have recently had a patient who suffered from intractable ascites and right portal vein thrombosis. Transjugular approach was tried to create TIPS, but it failed. Subsequently, TIPS was created by trans-splenic approach with a snare technique.
منابع مشابه
Recanalization of an Occluded Intrahepatic Portosystemic Covered Stent via the Percutaneous Transhepatic Approach
A 41-year-old woman with liver cirrhosis had recurrent portal hypertension and bleeding from esophageal varices due to complete occlusion of a previously inserted transjugular intrahepatic portosystemic shunt stent. Because recanalization of the stent by the transjugular approach was unsuccessful, ultrasound-guided entry to the splenic vein and portal vein was used. After catheter-directed intr...
متن کاملThe Role of Percutaneous Transjugular Portosystemic Shunts
Zemel, G., Katzen, B.T., Becker, G.J., Benenati, J.F. and Sallee, D.S. (1991) Percutaneous trans]ugular portosystemic shunt. Journal of American Medical Association 266: 390-393. Objective. To determine the effectiveness of the Palmaz balloon expandable stent for the creation of a transjugular intrahepatic portosystemic shunt. The device is designed to achieve portal decompression in patients w...
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Portal vein thrombosis (PVT) is a potential complication of cirrhosis and can worsen outcomes after liver transplant (LT). Portal vein reconstruction-transjugular intrahepatic portosystemic shunt (PVR-TIPS) can restore flow through the portal vein (PV) and facilitate LT by avoiding complex vascular conduits. We present a case of transsplenic PVR-TIPS in the setting of complete PVT and splenic v...
متن کاملThe transjugular intrahepatic portosystemic shunt (TIPS).
The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in the management refractory ascites. This review discusses the development and exe...
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OBJECTIVES A transjugular intrahepatic portosystemic shunt for treating recurrent variceal bleeding or refractory ascites can be used as bridge therapy in patients awaiting a liver transplant. However, incorrect placement of the transjugular intrahepatic portosystemic shunt may complicate surgery during a liver transplant. This study sought to analyze a cohort of transplanted recipients to unde...
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