Korean J Radiol.  2010 Aug;11(4):469-471. 10.3348/kjr.2010.11.4.469.

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

Affiliations
  • 1Department of Surgery, National Taiwan University Hospital, Taipei 100, Taiwan.
  • 2Department of Medical Imaging, National Taiwan University Hospital, Taipei 100, Taiwan. 007351@ntuh.gov.tw

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.

Keyword

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

MeSH Terms

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
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