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Title: Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis

The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.
Authors:
;  [1] ;  [2] ; ; ; ; ;  [1]
  1. Icahn School of Medicine at Mount Sinai, Division of Interventional Radiology (United States)
  2. The George Washington University School of Medicine and Health Sciences (United States)
Publication Date:
OSTI Identifier:
22469736
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 38; Journal Issue: 5; Other Information: Copyright (c) 2015 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANTICOAGULANTS; ASCITES; BYPASSES; HEPATITIS; HYPERTENSION; LUPUS; PATIENTS; REFRACTORIES; SCHISTOSOMIASIS; THROMBOSIS; VEINS