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http://dx.doi.org/10.3348/kjr.2010.11.4.469

Recanalization of an Occluded Intrahepatic Portosystemic Covered Stent via the Percutaneous Transhepatic Approach  

Chan, Chih-Yang (Department of Surgery, National Taiwan University Hospital)
Liang, Po-Chin (Department of Medical Imaging, National Taiwan University Hospital)
Publication Information
Korean Journal of Radiology / v.11, no.4, 2010 , pp. 469-471 More about this Journal
Abstract
A 41-year-old woman with liver cirrhosis had recurrent portal hypertension and bleeding from esophageal varices due to complete occlusion of a previously inserted transjugular intrahepatic portosystemic shunt stent. Because recanalization of the stent by the transjugular approach was unsuccessful, ultrasound-guided entry to the splenic vein and portal vein was used. After catheter-directed intrathrombus thrombolysis, successful opening of the stent was achieved and a stent was placed. We herein report a rare case in which thrombolysis and recanalization of a TIPS stent were performed via a percutaneous transhepatic approach.
Keywords
Transjugular intrahepatic portosystemic shunt; Percutaneous transsplenic recanalization; Thrombolysis; Portal hypertension; Thrombosis;
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