title: Percutaneous hydrodynamic thrombectomy of acute thrombosis in transjugular intrahepatic portosystemic shunt (TIPS): a feasibility study in five patients.
abstract: OBJECTIVE
  To evaluate the feasibility of percutaneous hydrodynamic thrombectomy in restoring patency of acutely thrombosed stent-shunts after transjugular intrahepatic portosystemic shunt (TIPS).
  
  
  METHODS
  Percutaneous hydrodynamic thrombectomy was performed in five consecutive patients with angiographically documented complete thrombosis of the stent-shunt which developed within 2 weeks after the TIPS procedure. Thrombectomy was performed with a hydrolytic suction thrombectomy catheter, introduced via a transjugular approach.
  
  
  RESULTS
  In all patients, immediate restoration of patency of the stent-shunt was achieved after deploying additional stent(s) to cover residual adherent mural thrombus. In two patients early reocclusion occurred.
  
  
  CONCLUSIONS
  Percutaneous hydrolytic suction thrombectomy in acutely thrombosed intrahepatic portosystemic shunts is technically feasible.
authors.affiliation: Department of Radiology, University Hospitals, Leuven, Belgium.
authors.forename: H
authors.initials: H
authors.lastname: Raat
authors.forename: L
authors.initials: L
authors.lastname: Stockx
authors.forename: E
authors.initials: E
authors.lastname: Ranschaert
authors.forename: F
authors.initials: F
authors.lastname: Nevens
authors.forename: G
authors.initials: G
authors.lastname: Wilms
authors.forename: A L
authors.initials: AL
authors.lastname: Baert
mesh_terms: D002406:Catheterization, Peripheral / Q000295:instrumentation; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012008:Recurrence; D015607:Stents; D013396:Suction / Q000295:instrumentation / Q000379:methods; D017131:Thrombectomy / Q000295:instrumentation / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D014654:Vascular Patency