Transjugular intrahepatic portosystemic shunt (TIPSS)
Case of Budd Chiari syndrome. On anticoagulation. Refractory ascites and variceal bleeding.
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A TIPSS shunt is created; portal venous injection after the TIPSS creation shows preferential flow from a main portal vein through the shunt into a main hepatic vein near its confluence with the inferior vena cava.
Patient is a case of Budd Chiari syndrome with hepatic venous stenting done in the past.
The hepatic venous stent had restenosed and there was refractory ascites and intermittent variceal bleeding.
Hence a TIPSS shunt was created.
Injection into the portal vein after TIPSS creation shows a good preferential flow toward the IVC.
- 1. Núñez O, de la Cruz G, Molina J, Borrego GM, Marín I, Ponferrada A, Catalina V, Echenagusia A, Bañares R Interventional radiology, angioplasty and TIPS in Budd-Chiari syndrome. Gastroenterol Hepatol. 2003 Oct;26(8):461-4.