Recanalization of an Occluded Intrahepatic Portosystemic Covered Stent via the Percutaneous Transhepatic Approach.
10.3348/kjr.2010.11.4.469
- Author:
Chih Yang CHAN
1
;
Po Chin LIANG
Author Information
1. Department of Surgery, National Taiwan University Hospital, Taipei 100, Taiwan.
- Publication Type:Case Report
- Keywords:
Transjugular intrahepatic portosystemic shunt;
Percutaneous transsplenic recanalization;
Thrombolysis;
Portal hypertension;
Thrombosis
- MeSH:
Adult;
Esophageal and Gastric Varices/etiology/*surgery;
Female;
Humans;
Hypertension, Portal/etiology/*surgery;
Liver Cirrhosis/complications;
Portasystemic Shunt, Transjugular Intrahepatic/*adverse effects;
Reoperation;
Stents/*adverse effects;
Vascular Patency
- From:Korean Journal of Radiology
2010;11(4):469-471
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 intrathrombus thrombolysis, successful opening of the stent was achieved and a stent was placed. We herein report a rare case in which thrombolysis and recanalization of a TIPS stent were performed via a percutaneous transhepatic approach.
