Korean Journal of Radiology  2010;11(4):469-471

doi:10.3348/kjr.2010.11.4.469

Recanalization of an Occluded Intrahepatic Portosystemic Covered Stent via the Percutaneous Transhepatic Approach.

Chih Yang CHAN 1 ; Po Chin LIANG

Affiliations

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Keywords

Transjugular intrahepatic portosystemic shunt; Percutaneous transsplenic recanalization; Thrombolysis; Portal hypertension; Thrombosis

Country

Republic 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.