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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1814770
Case Report

Aspiration Thrombectomy of a Completely Thrombosed Transjugular Intrahepatic Portosystemic Shunt Stent using the INARI Flow Triever Device: A Case Report

Authors

  • Hamza Khoudari

    1   University of Debrecen, Debrecen, Hungary

  • Ayşe Eylül Dönmez

    2   Acıbadem Mehmet Ali Aydinlar University, Istanbul, Turkiye

  • Justin Jian Guan 

    3   Division of Interventional Radiology, Department of Diagnostic Radiology, Cleveland Clinic, Cleveland, Ohio, United States
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Abstract

This report details the use of the INARI FlowTriever aspiration thrombectomy device to successfully declot a thrombosed transjugular intrahepatic portosystemic shunt (TIPS) stent in a 50-year-old man with history of cirrhosis with portal hypertension. Patient presented with abdominal pain and worsening ascites, and the TIPS was found to be completely thrombosed on computed tomography imaging. The stent was recanalized with aspiration thrombectomy, portal venogram after balloon venoplasty showed brisk antegrade flow with no residual stenosis. Patient's symptoms resolved immediately postprocedure. This case underscores the importance of routine TIPS follow-up and highlights the efficacy of aspiration thrombectomy, contributing to the evolving strategies for managing TIPS complications.

Keywords

TIPS - thrombectomy - portal hypertension


Publication History

Article published online:
17 February 2026

© 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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