G. Soulez et al., PERCUTANEOUS STENT PLACEMENT FOR TREATMENT OF STENOSIS OF A PORTACAVAL H-GRAFT SHUNT, Canadian Association of Radiologists journal, 46(3), 1995, pp. 219-222
Surgical treatment of an occluded or stenotic portacaval shunt carries
a high risk of mortality, but the rate of restenosis after translumin
al angioplasty is also high. The authors report high-grade stricture o
f a portacaval H-graft shunt in a 51-year-old man, who presented with
hematemesis and melena. The patient was treated with concomitant ballo
on angioplasty and placement of a metallic stent through a percutaneou
s venous approach. The procedure was tolerated well by the patient, an
d stenosis had not recurred at follow-up 1 year later.