A. Krajina et al., EXTRAHEPATIC PORTAL VENOUS LACERATION IN TIPS TREATED WITH STENT GRAFT PLACEMENT, Hepato-gastroenterology, 44(15), 1997, pp. 667-670
Three cases of intraperitoneal bleeding from extrahepatic portal vein
laceration were observed in a series of 104 patients with TIPS. In one
patient, bleeding continued after Wallstent placement and the patient
died during an emergency laparotomy. Bleeding was stopped in the othe
r two patients by using a stent graft rather than a regular stent. One
shunt remained patent and outflow stenosis developed in 3 months. The
other shunt thrombosed in 5 months. Both shunts were fully reopened.