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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1806941
Case Report

Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus

Rajesh Sasidharan 
1   Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, India
,
Shubham Suryavanshi
1   Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, India
,
Akhil Baby
1   Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, India
,
Shobhit Singh
2   Division of Hepatobiliary Interventional Radiology, BLK-Max Super Specialty Hospital, New Delhi, India
,
Nitesh Agarwal
2   Division of Hepatobiliary Interventional Radiology, BLK-Max Super Specialty Hospital, New Delhi, India
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Abstract

Portal vein recanalization-transjugular intrahepatic portosystemic shunt (PVR-TIPS) has become an accepted minimally invasive therapeutic option for alleviating symptoms of portal hypertension refractory to medical and endoscopic therapy in patients with chronic portal vein thrombosis. The transsplenic approach for PVR-TIPS has shown excellent results with acceptable complication rates. Traditionally, endovascular snares are used as fluoroscopic target for accessing the recanalized portal vein from the hepatic vein. Here, we report our experience with contrast-filled balloon catheter as a fluoroscopic target for the same in a noncirrhotic patient with extrahepatic portal venous obstruction and recurrent variceal bleeding.

Keywords

Leiden - cavernoma - fluoroscopic


Publication History

Article published online:
28 March 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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