O. Matsui et al., TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT AFTER PREVIOUS RECANALIZATION OF A CHRONICALLY THROMBOSED PORTAL-VEIN VIA A TRANSMESENTERIC APPROACH, Cardiovascular and interventional radiology, 19(5), 1996, pp. 352-355
We report a cirrhotic patient with complete occlusion of the portal ve
in with marked cavernous transformation due to chronic thrombosis in w
hom a transjugular intrahepatic portosystemic shunt (TIPS) was success
fully created after direct minilaparotomy mesenteric vein catheterizat
ion, lysis and aspiration of the thrombus, and stenting in the portal
vein. The methods used, we believe, provide a new technique for perfor
ming TIPS in chronically thrombosed portal veins in which previously n
o effective surgical therapeutic options were available.