TRANSJUGULAR INTRAHEPATIC PORTACAVAL-SHUNT AFTER THROMBUS DISRUPTION IN PARTIALLY THROMBOSED PORTAL VEINS

Authors
BILBAO JI LONGO JM ROUSSEAU H DEVILLA V MANSILLA F ALVAREZCIENFUEGOS J JOFFRE F PRIETO J
Citation
Ji. Bilbao et al., TRANSJUGULAR INTRAHEPATIC PORTACAVAL-SHUNT AFTER THROMBUS DISRUPTION IN PARTIALLY THROMBOSED PORTAL VEINS, Cardiovascular and interventional radiology, 17(2), 1994, pp. 106-109
Citations number
NO
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
Journal title
Cardiovascular and interventional radiology → ACNP
ISSN journal
01741551
Volume
17
Issue
2
Year of publication
1994
Pages
106 - 109
Database
ISI
SICI code
0174-1551(1994)17:2<106:TIPATD>2.0.ZU;2-4
Abstract
Portal vein (PV) thrombosis increases the risk of variceal bleeding in cirrhotic patients with portal hypertension. Its presence also compli cates PV access during transjugular porto-caval shunt (TIPS) placement . We overcame this obstacle by using ultrasound (US) guidance for PV e ntry. Clot disruption by balloon catheters was then performed before p lacing the vascular endoprostheses for portal-venous shunting. We trea ted 3 cirrhotic patients in such fashion with good clinical results. P ortal thrombi progressively disappeared after shunting due to both bal loon disruption and the rise in portal blood flow velocity.