Rheolytic thrombectomy of an acutely thrombosed transjugular intrahepatic portosystemic stent shunt.
As an alternative to chemical thrombolysis, an acutely occluded transjugular intrahepatic portosystemic stent shunt in a 72-year-old woman was successfully recanalized using a 5 Fr rheolytic catheter system. No adjunctive thrombectomy treatment was necessary. The underlying stenotic leason was treated with percutaneous transluminal angioplasty and a Palmaz stent. Immediately after the intervention optimal shunt flow was achieved. Ascites vanished within a few days and no further bleeding complications appeared.
Müller-Hülsbeck
S
S
Department of Radiology, University Hospital, Arnold-Heller-Strasse 9, D-24105 Kiel, Germany.
Link
J
J
Höpfner
M
M
Löser
C
C
Heller
M
M
D000368:Aged; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon; D002404:Catheterization / Q000295:instrumentation; D005260:Female; D006801:Humans; D011170:Portasystemic Shunt, Surgical; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D013396:Suction / Q000295:instrumentation / Q000379:methods; D007507:Therapeutic Irrigation / Q000295:instrumentation / Q000379:methods; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*