Transjugular Intrahepatic Portosystemic Shunt Flow Reduction with Adjustable Polytetrafluoroethylene-covered Balloon-expandable Stents

Ghazwan Kroma, Jorge Lopera, Marco Cura, Rajeev Suri, Fadi El-Merhi, Jerad Reading

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Creation of a transjugular intrahepatic portosystemic shunt (TIPS) can effectively treat complications of portal hypertension, but excessive shunting can cause life-threatening hepatic encephalopathy and hepatic insufficiency. The present report describes a novel technique that allows for controlled and adjustable flow reduction through the TIPS via partial closure of the shunt with a balloon-mounted covered stent. The method results in clinical improvement of hepatic encephalopathy and hepatic insufficiency and immediate increase in the portosystemic pressure gradient. However, among the four patients described herein, survival beyond 1 year was seen in only one, who underwent liver transplantation after TIPS reduction.

Original languageEnglish (US)
Pages (from-to)981-986
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume20
Issue number7
DOIs
StatePublished - Jul 1 2009

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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