Percutaneous hydrodynamic thrombectomy of acute thrombosis in transjugular intrahepatic portosystemic shunt (TIPS): A feasibility study in five patients

Journal Article · Thu May 15 04:00:00 EDT 1997 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900133· OSTI ID:21080220

Raat, Henricus; Stockx, Luc ^[1]; Ranschaert, Eric ^[2]; Nevens, Frederik ^[3]; Wilms, Guy; Baert, Albert L ^[1]

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1. University Hospitals, Department of Radiology (Belgium)
2. Nieuw Ziekenhuis, Department of Radiology (Belgium)
3. University Hospitals, Department of Internal Medicine-Hepatology (Belgium)

Purpose. To evaluate the feasibility of percutaneous hydrodynamic thrombectomy in restoring patency of acutely thrombosed stent-shunts after transjugular intrahepatic portosystemic shunt (TIPS).MethodsPercutaneous hydrodynamic thrombectomy was performed in five consecutive patients with angiographically documented complete thrombosis of the stent-shunt which developed within 2 weeks after the TIPS procedure. Thrombectomy was performed with a hydrolytic suction thrombectomy catheter, introduced via a transjugular approach.ResultsIn all patients, immediate restoration of patency of the stent-shunt was achieved after deploying additional stent(s) to cover residual adherent mural thrombus. In two patients early reocclusion occurred.ConclusionPercutaneous hydrolytic suction thrombectomy in acutely thrombosed intrahepatic portosystemic shunts is technically feasible.

• OSTI ID: 21080220
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 20; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOLOGICAL RECOVERY
BYPASSES
FEASIBILITY STUDIES
PATIENTS
THROMBOSIS