Stent placement in a splenic vein stenosis after TIPS creation.
A hemodynamically significant splenic vein stenosis was found during placement of a transjugular intrahepatic portosystemic shunt in a patient with gastric variceal bleeding. A second stent was placed across the splenic vein stenosis, which was obstructing normal hepatopetal flow, causing venous hypertension in the splenic and short gastric veins. This produced a successful hemodynamic and angiographic result and, clinically, controlled the patient's bleeding.
Department of Radiology, Western Pennsylvania Hospital, Pittsburgh 15224.
S H
SH
Cekirge
J P
JP
Weiss
R G
RG
Foster
G K
GK
McLean
D003251:Constriction, Pathologic / Q000601:surgery; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical / Q000379:methods; D013162:Splenic Vein / Q000601:surgery*; D015607:Stents; D014652:Vascular Diseases / Q000601:surgery