Reversal of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-Induced Hepatic Encephalopathy Using a Strictured Self-Expanding Covered Stent

Journal Article · Sat Nov 15 04:00:00 EST 2003 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-0016-Y· OSTI ID:21088337

Cox, Mitchell W ^[1]; Soltes, George D ^[2]; Bush, Ruth L; Lumsden, Alan B ^[1]

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1. Baylor College of Medicine, Houston, Texas, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery (United States)
2. Baylor College of Medicine, Houston, Texas, Division of Interventional Radiology, Department of Radiology (United States)

Hepatic encephalopathy is a known complication following percutaneous transjugular intrahepatic portosystemic shunt (TIPS) placement. We describe herein a simple and effective strategy of TIPS revision by creating an intraluminal stricture within a self-expanding covered stent, which is deployed in the portosystemic shunt to reduce the TIPS blood flow. This technique was successful in reversing a TIPS-induced hepatic encephalopathy in our patient.

• OSTI ID: 21088337
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 26; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BLOOD FLOW
BYPASSES
LIVER
PATIENTS
VASCULAR DISEASES