Transjugular Intrahepatic Portosystemic Shunt in Patients With Chronic Portal Vein Occlusion and Cavernous Transformation

2009 ◽  
Vol 43 (10) ◽  
pp. 982-984 ◽  
Author(s):  
Alexandra Wils ◽  
Edwin van der Linden ◽  
Bart van Hoek ◽  
Peter M.T. Pattynama
Keyword(s):  
Portal Vein ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Portosystemic Shunt ◽  
Portal Vein Occlusion ◽  
Vein Occlusion ◽  
Cavernous Transformation ◽  
Intrahepatic Portosystemic Shunt

Transjugular intrahepatic portosystemic shunt in a patient with cavernomatous portal vein occlusion

2000 ◽  
Vol 23 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Hiroshi Kawamata ◽  
Tatsuo Kumazaki ◽  
Hidenori Kanazawa ◽  
Shuji Takahashi ◽  
Hiroyuki Tajima ◽  
...  
Keyword(s):  
Portal Vein ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Portosystemic Shunt ◽  
Portal Vein Occlusion ◽  
Vein Occlusion ◽  
Intrahepatic Portosystemic Shunt

Percutaneous transhepatic intrahepatic portosystemic shunt for variceal bleeding with chronic portal vein occlusion after splenectomy

2018 ◽  
Vol 28 (9) ◽  
pp. 3661-3668 ◽  
Author(s):  
Junyang Luo ◽  
Mingan Li ◽  
Youyong Zhang ◽  
Haofan Wang ◽  
Mingsheng Huang ◽  
...  
Keyword(s):  
Portal Vein ◽  
Variceal Bleeding ◽  
Portosystemic Shunt ◽  
Portal Vein Occlusion ◽  
Vein Occlusion ◽  
Intrahepatic Portosystemic Shunt

The Gun-Site and Percutaneous Portocaval Techniques for the Challenging TIPS

2018 ◽  
Author(s):  
S. Lowell Kahn
Keyword(s):  
Portal Vein ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Conventional Technique ◽  
Portosystemic Shunt ◽  
Cirrhotic Liver ◽  
Hepatic Veins ◽  
Venous Circulation ◽  
Cavernous Transformation ◽  
Intrahepatic Portosystemic Shunt

Since its inception, the “Achilles’ heel” of the transjugular intrahepatic portosystemic shunt (TIPS) procedure has been catheterization of the portal vein from the systemic venous circulation. In the majority of TIPS procedures, the portal vein is readily identified with conventional technique and the procedure is completed in no more than 60–90 minutes, if not less. However, there are certain anatomic situations that can make performance of a TIPS procedure difficult. A small cirrhotic liver with an abnormal hepatic to portal venous orientation, t hrombosis or cavernous transformation of the portal vasculature, and atrophic or absent (Budd–Chiari) hepatic veins all produce unique challenges for the interventionalist. In such situations, the use of alternative TIPS techniques may be warranted. In this chapter, two alternative TIPS techniques are discussed to assist with challenging anatomy.

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