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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(01): 040-042
DOI: 10.1055/s-0036-1597653
Case Report
Indian Society of Vascular and Interventional Radiology

Parallel Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation in a Patient with a Preexisting Unsalvageable Occluded TIPS and Refractory Variceal Bleeding

Krantikumar Rathod
1   Department of Vascular and Interventional Radiology, Bombay Hospital and Medical Research Center, Mumbai, India
2   Department of Vascular and Interventional Radiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, India
,
Bhavesh Popat
2   Department of Vascular and Interventional Radiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, India
,
Pankaj Barai
1   Department of Vascular and Interventional Radiology, Bombay Hospital and Medical Research Center, Mumbai, India
,
Deepak Amrapurkar
3   Department of Gastroenterology, Bombay Hospital and Medical Research Center, Mumbai, India
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
28. Juli 2017 (online)

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Abstract

Transjugular intrahepatic portosystemic shun (TIPS) dysfunction is usually secondary to acute thrombosis within the stent, pseudointimal hyperplasia in the TIPS parenchymal tract, or intimal hyperplasia in the outflow hepatic vein. Several methods have been used in treating TIPS dysfunction, including balloon angioplasty, stent insertion, and the creation of a parallel TIPS. We report a case of refractory variceal bleeding in which a parallel TIPS was successfully created after failure to recanalize the preexisting occluded TIPS.

Keywords

parallel TIPS - TIPS dysfunction - variceal bleeding
 

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