Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement
In: CVIR Endovascular, Jg. 6 (2023), Heft 1, S. 1-6
Online
academicJournal
Zugriff:
Abstract Background To report the technique and outcome of ultrasound-guided percutaneous access to the superior mesenteric vein (SMV) for balloon-assisted portal vein recanalization–transjugular intrahepatic portosystemic shunt (PVR-TIPS) in a patient with chronic portal venous and splenic vein occlusion. Case presentation A 51-year-old, non-cirrhotic patient with severe portal hypertension was admitted for PVR-TIPS. Neither splenic nor hepatic access was feasible due to chronic portal and splenic vein occlusion. Percutaneous ultrasound-guided direct puncture of the SMV was performed to obtain access for balloon-assisted PVR-TIPS. The transmesenteric approach in combination with a balloon puncture technique for PVR-TIPS was successful, and no immediate complications were observed post-procedure. The subsequent follow-up exams showed patent TIPS and SMV without signs of intraabdominal hemorrhage. Conclusion Percutaneous ultrasound-guided superior mesenteric vein access for balloon-assisted PVR-TIPS is a feasible option in cases where hepatic or splenic access is not.
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Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement
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Autor/in / Beteiligte Person: | Dewald, Cornelia L. A. ; Wacker, Frank K. ; Maasoumy, Benjamin ; Hinrichs, Jan B. |
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Zeitschrift: | CVIR Endovascular, Jg. 6 (2023), Heft 1, S. 1-6 |
Veröffentlichung: | SpringerOpen, 2023 |
Medientyp: | academicJournal |
ISSN: | 2520-8934 (print) |
DOI: | 10.1186/s42155-023-00379-6 |
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