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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1802654
Case Report

Late Onset Hepatic Encephalopathy after Living Donor Liver Transplant: Successful Reversal by Plug Embolization of Shunt—A Report of Two Cases

Shahnawaz Bashir 
1   Interventional Radiology, Max Super Speciality Hospital, Saket, New Delhi, India
,
Dibyalochan Praharaj
2   Centre for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India
,
Adnan Khan
1   Interventional Radiology, Max Super Speciality Hospital, Saket, New Delhi, India
,
Subhash Gupta
2   Centre for Liver and Biliary Sciences, Max Super Speciality Hospital, Saket, New Delhi, India
,
Pragati Gakher 
1   Interventional Radiology, Max Super Speciality Hospital, Saket, New Delhi, India
› Institutsangaben Funding None.
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Abstract

In liver transplant (LT) recipients, development of portosystemic (PS) shunts can lead to hepatic encephalopathy. Here we report the cases of two patients who presented with hepatic encephalopathy 11 and 15 years after LT. Plug-assisted embolization of PS shunt led to significant improvement in their clinical and neurological symptoms, highlighting the importance of monitoring for PS shunts in long-term LT follow-up.

Keywords

liver transplant - hepatic encephalopathy - portosystemic shunts - vascular plugs - PARTO

Ethics Approval and Consent to Participate

Ethical committee approval was not needed for this case report. Informed written consent was taken from the patient.




Publikationsverlauf

Artikel online veröffentlicht:
10. Februar 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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