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Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report

Choi Y, Kim JH, Jeon UB, Jang JY, Kim TU, Ryu H

Intrahepatic portosystemic venous shunt (IPSVS) is a rare vascular abnormality that involves abnormal communication between the intrahepatic portal vein and systemic veins, such as the hepatic vein or inferior vena...
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Arterio-Biliary Fistula as a Rare Life-Threatening Complication of Transjugular Intrahepatic Portosystemic Shunt: A Case Report

Ko JS, Kwon LM, Kim HM, Kim MJ, Ha HI, Park JW, Woo JY

A 46-year-old male with alcoholic liver cirrhosis underwent a transjugular intrahepatic portosystemic shunt (TIPS) for refractory ascites. On the 9th day after the procedure, he presented with melena and decreasing...
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The role of transjugular intrahepatic portosystemic shunt in patients with portal hypertension: Advantages and pitfalls

Lee HL, Lee SW

Transjugular intrahepatic portosystemic shunt (TIPS) is an effective interventional procedure to relieve portal hypertension, which is a main mechanism for the development of complications of liver cirrhosis (LC), such as...
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Endovascular Treatment of Congenital Portosystemic Shunt: A Single-Center Prospective Study

Ponce-Dorrego MD, Hernández-Cabrero T, Garzón-Moll G

Purpose: To design a prospective study on endovascular closure of congenital portosystemic shunts. The primary endpoint was to assess the safety of endovascular closure. The secondary endpoint was to evaluate...
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Portal and hepatic vein thrombosis after transjugular intrahepatic portosystemic shunt: Incidence in follow-up imaging and clinical implications

Mandal P, O’Donnell BP, Smith ER, Al-Bayati O, Khalil A, Jen S, Vela M, Lopera J

Background: This study investigated the incidence and clinical outcomes of portal and hepatic vein thrombosis (VT) on imaging after transjugular intrahepatic portosystemic shunt (TIPS). Methods: A retrospective review of records at...
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Transjugular intrahepatic portosystemic shunt and transcatheter embolization treatment of duodenal variceal bleeding

Howe JH, Bream Jr PR, Commander CW, Kim KR

We present a case of a 53-year-old male with alcoholic cirrhosis who presented with acute hematemesis and hematochezia. The patient was initially treated with esophagogastroduodenoscopy guided band ligation of a...
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Living-donor liver transplantation for Abernethy malformation - case report and review of literature

Nam HD

Abernethy malformation was named for the rare congenital absence of the portal vein (CAPV), also known as congenital extrahepatic portal-systemic shunts (CEPS). This could be classified as complete (type 1)...
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Endovascular Closure Resolves Trimethylaminuria Caused by Congenital Portosystemic Shunts

Ponce-Dorrego MD, Garzón-Moll G

This study aimed to report three new cases of an association between two rare conditions, congenital portosystemic shunts (CPSS) and trimethylaminuria (TMAU), and the efficacy of endovascular closure of the...
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Congenital portal vein aplasia with portocaval shunting in two dogs

Two dogs presented with vomiting and head pressing. In both dogs, a large vessel was revealed in computed tomography (CT) angiography, which was found to leave the portal vein (PV)...
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The Characteristics and Outcomes of Abernethy Syndrome in Korean Children: A Single Center Study

Kim ES, Lee KW, Choe YH

PURPOSE: Abernethy malformation is a rare condition, which was first described in 1793 as a congenital extrahepatic porto-systemic shunt (CEPS) directing splanchnic blood flow into the inferior vena cava. Eighty...
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Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions

Samarasena JB, Chang KJ

A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic...
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A new and improved transjugular intrahepatic portosystemic shunt (TIPS) stent graft: Controlled expansion

Trieu H, Lee EW

Initial underdilation of transjugular intrahepatic portosystemic shunt (TIPS) stents has been a widely proposed and commonly practiced technique to balance portal hypertension relief and the adverse effects associated with excess...
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Transjugular intrahepatic portosystemic shunt trends in China: A brief review

JiangQiang X, YuZheng Z

Transjugular intrahepatic portosystemic shunt (TIPS) is now considered as a major treatment option for cirrhotic patients with portal hypertension. Globally, it is getting markedly increase attention, and a similar phenomenon...
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A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound

Kao SD, Lee EW

Portal vein access has historically been the most technically challenging step in the creation of transjugular intrahepatic portosystemic shunts (TIPSs). The use of intravascular ultrasound (IVUS) for guidance of portal...
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Successful Transjugular Intrahepatic Portosystemic Shunt with Embolization Subsequent to Endoscopic Variceal Band Ligation for Bleeding Anorectal Varices

Park SW, Jun CH, Choi SK, Kim HS, Park CH, Rew JS, Park SY, Cho E, Kim JK, Kim HO

Anorectal variceal bleeding is a rare occurrence; however, in such event, it could be fatal due to large size and high blood flow rate of varices. However, to date, there...
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Mesocaval Shunt Creation for Jejunal Variceal Bleeding with Chronic Portal Vein Thrombosis

Yoon JK, Kim MD, Lee DY, Han SJ

The creation of transjugular intrahepatic portosystemic shunt (TIPS) is a widely performed technique to relieve portal hypertension, and to manage recurrent variceal bleeding and refractory ascites in patients where medical...
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Endoscopic ultrasound-guided vascular intervention for portal hypertension

Tang RS

As endoscopic ultrasound (EUS) equipment improves, the diagnostic and therapeutic applications of EUS in patients with portal hypertension (pHTN) have been increasingly explored. Various EUS-guided vascular interventions for pHTN have...
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Comparison of Transjugular Intrahepatic Portosystemic Shunt with Covered Stent and Balloon-Occluded Retrograde Transvenous Obliteration in Managing Isolated Gastric Varices

Kim SK, Lee KA, Sauk S, Korenblat

OBJECTIVE: Although a transjugular intrahepatic portosystemic shunt (TIPS) is commonly placed to manage isolated gastric varices, balloon-occluded retrograde transvenous obliteration (BRTO) has also been used. We compare the long-term outcomes...
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Transjugular intrahepatic portosystemic shunts versus balloon-occluded retrograde transvenous obliteration for the management of gastric varices: Treatment algorithm according to clinical manifestations

Kim SK, Sauk S, Guevara CJ

Transjugular intrahepatic portosystemic shunts (TIPS) are widely used in the management of bleeding gastric varices (GV). More recently, several studies have demonstrated balloon-occluded retrograde transvenous obliteration (BRTO) as an effective...
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Percutaneous retrieval of a misplaced transjugular intrahepatic portosystemic shunt stent using the rigid endobronchial forceps

Vu J, Kim SK

Summary of Event: A transjugular intrahepatic portosystemic shunt (TIPS) stent (Viatorr) was misplaced into main portal vein and superior mesenteric vein. This misplaced covered stent was then successfully retrieved using...
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