[Trans-jugular intrahepatic portosystemic stent-shunt (TIPS) in a patient with Budd-Chiari syndrome].
The surgical modalities for the management of Budd-Chiari syndrome are associated with high morbidity and mortality. The clinical course of a patient with subacute Budd-Chiari syndrome and a myeloproliferative disorder is described in whom, to reduce the portal hypertension, a transjugular intrahepatic portosystemic stent-shunt (TIPS) was implanted. TIPS is a new, still experimental procedure for the treatment of patients with portal hypertension which is used mainly for patients with recurrent variceal bleeding. An intrahepatic metal wire stent connects a main branch of the portal vein with a large hepatic vein and reduces the portal venous pressure as a side-to-side portosystemic shunt. In the patient described here the implantation of a TIPS was followed by rapid reduction of ascites production and a continuing general improvement.
Walter
E
E
Departement für Innere Medizin, Universitätsspital Zürich.
Muntwyler
J
J
Bertschinger
P
P
Flury
R
R
Ochs
A
A
Haag
K
K
Rössle
M
M
Blum
H E
HE
D000328:Adult; D000792:Angiography; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002408:Catheters, Indwelling; D006801:Humans; D008297:Male; D009196:Myeloproliferative Disorders / Q000150:complications; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D015607:Stents; D014463:Ultrasonography
Transjugulärer intrahepatischer portosystemischer Stent-Shunt (TIPS) bei einem Patienten mit Budd-Chiari-Syndrom.