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DOI: 10.1055/s-0045-1806941
Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
Funding None.
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.
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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