Post-TIPS Hepatic Encephalopathy Treated by Occlusion Balloon-Assisted Retrograde Embolization of a Coexisting Spontaneous Splenorenal Shunt

Journal Article · Fri Nov 15 00:00:00 EST 1996 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900012· OSTI ID:21080569

Shioyama, Yasukazu; Matsueda, Kiyoshi; Horihata, Koushi; Kimura, Masashi ^[1]; Nishida, Norifumi; Kishi, Kazushi; Terada, Masaki; Sato, Morio; Yamada, Ryusaku ^[2]

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1. Department of Radiology, Central Hospital and Cancer Center of Ibaraki Prefecture, 6528 Koibuchi Tomobe-machi, Nishiibaraki-gun, Ibaraki, Japan 309-17 (Japan)
2. Department of Radiology, Wakayama Medical College, 27 7-bancho, Wakayama-shi, Wakayama, Japan 640 (Japan)

A 51-year-old man with posthepatitis cirrhosis underwent a transjugular intrahepatic portosystemic shunt (TIPS) for bleeding of recurrent esophageal varices. The patient had a coexisting, spontaneous, splenorenal shunt. He subsequently developed hepatic encephalopathy, presumably due to excessive portosystemic shunting. Since medical management resulted in no significant improvement, the splenorenal shunt was embolized from the jugular vein approach via renal vein access during temporary balloon occlusion. Within a few days, the patient's hepatic encephalopathy resolved. Twelve months later the patient showed no recurrence of encephalopathy and had maintained a patent TIPS.

• OSTI ID: 21080569
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 19, Issue 1; Other Information: DOI: 10.1007/s002709900012; Copyright (c) 1996 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

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VEINS