Percutaneous stent placement for treatment of stenosis of a portacaval H-graft shunt.
Surgical treatment of an occluded or stenotic portacaval shunt carries a high risk of mortality, but the rate of restenosis after transluminal angioplasty is also high. The authors report high-grade stricture of a portacaval H-graft shunt in a 51-year-old man, who presented with hematemesis and melena. The patient was treated with concomitant balloon angioplasty and placement of a metallic stent through a percutaneous venous approach. The procedure was tolerated well by the patient, and stenosis had not recurred at follow-up 1 year later.
Soulez
G
G
Department of Radiology, Hôtel-Dieu de Montréal, Que.
Bernard
E J
EJ
Gagner
M
M
Thérasse
E
E
Deslandres
E
E
Robillard
P
P
Leduc
R
R
D000800:Angioplasty, Balloon; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical; D015607:Stents