CC-BY-NC-ND 4.0 · J Clin Interv Radiol ISVIR 2017; 01(03): 175-178
DOI: 10.1055/s-0037-1603830
Case Report
Indian Society of Vascular and Interventional Radiology

Transjugular Intrahepatic Portosystemic Shunt Using the Trans-splenic Approach and a Snare Technique

Juil Park1, Hyo-Cheol Kim1
  • 1Department of Radiology, Seoul National University Hospital, Seoul, Korea
Further Information

Publication History

13 April 2017

01 May 2017

Publication Date:
05 September 2017 (eFirst)


Transjugular intrahepatic portosystemic shunt (TIPS) is an established procedure for the secondary prevention of variceal bleeding and management of refractory ascites. Portal vein thrombosis presents technical difficulty during TIPS due to nonvisualization of portal vein. In such patients, trans-splenic approach can be utilized to navigate thrombosed portal vein and use a snare as a fluoroscopic guidance for the intraparenchymal pass. We present the case of a 63-year old man who received the successful TIPS procedure via trans-splenic access without any complication.