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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(02): 335-341
DOI: 10.1055/s-0043-1777321
Case Series

Transjugular Intrahepatic Portosystemic Shunt (TIPS) Extension for Transhepatic Mesocaval Shunt Creation: A Case Series for Treating Refractory Upper Gastrointestinal Bleeding in Patients with Chronic Portal Vein Thrombosis

Yashwant Patidar 
1   Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Sushant Babbar 
1   Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Amar Mukund 
1   Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Shiv Kumar Sarin
2   Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India
› Author Affiliations Funding None.
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Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) is known to benefit patients with decompensated liver disease by alleviating portal pressure. However, TIPS creation is technically difficult and challenging to perform in patients with chronic portal vein thrombosis (PVT) (4,5). Multiple endovascular techniques for portal vein recanalization with or without creating portosystemic shunt are available to decompress and alleviate portal hypertension in patients with PVT. In this case series, we represent TIPS extension to create an endovascular mesocaval shunt for the treatment of refractory upper gastrointestinal bleeding.

Keywords

mesocaval shunt - PVR TIPS - chronic PVT - portal hypertension


Publication History

Article published online:
15 December 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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