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DOI: 10.1055/s-2005-925556
The Difficult Transjugular Intrahepatic Portosystemic Shunt: Alternative Techniques and “Tips” to Successful Shunt Creation
Publication History
Publication Date:
03 January 2006 (online)
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ABSTRACT
The transjugular intrahepatic portosystemic shunt (TIPS) is one of the most complex procedures performed by interventional radiologists. Most of these procedures are straightforward and may be successfully completed within 2 hours. In some cases, TIPS creation may be extremely difficult, for example in situations such as: variant anatomy, portal vein thrombosis, hepatic vein thrombosis, or preexisting TIPS. In this article we describe some maneuvers that may be attempted in cases where creation of the shunt proves to be difficult.
KEYWORDS
Transjugular intrahepatic portosystemic shunts - portal hypertension - portal vein thrombosis - hepatic vein thrombosis
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Hector FerralM.D.
Department of Radiology, Rush University Medical Center
1653 West Congress Parkway, Chicago, IL 60612