title: [New TIPS placement in pregnancy in recurrent esophageal varices hemorrhage--assessment of fetal radiation exposure].
abstract: Recurrent variceal bleeding due to liver cirrhosis led to treatment with a transjugular intrahepatic portosystemic shunt (TIPS) in a pregnant woman at 20 weeks' gestation. Fetal radiation exposure was estimated to be less than 10 mSv. The use of a graduated catheter allowed measurement of field size and reliable determination of the patient's entrance dose. Radiation exposure of an approximated fetal dosage of 5.2 mSv did not justify abortion for medical reasons. Therefore, TIPS procedure is not generally contraindicated during pregnancy itself. TIPS placement may be a therapeutic option related to the severity of the underlying maternal disease, after radiation exposure of the fetus has been estimated.
authors.affiliation: Klinik für Radiologische Diagnostik, Universitätsklinikum der RWTH Aachen.
authors.forename: J E
authors.initials: JE
authors.lastname: Wildberger
authors.forename: D
authors.initials: D
authors.lastname: Vorwerk
authors.forename: R
authors.initials: R
authors.lastname: Winograd
authors.forename: A
authors.initials: A
authors.lastname: Stargardt
authors.forename: N
authors.initials: N
authors.lastname: Busch
authors.forename: R W
authors.initials: RW
authors.lastname: Günther
mesh_terms: D000328:Adult; D000792:Angiography; D000075202:Contraindications; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005333:Fetus / Q000528:radiation effects*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008111:Liver Function Tests; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011829:Radiation Dosage; D012008:Recurrence; D012307:Risk Factors
vernacular_title: TIPS-Neuanlage in der Schwangerschaft bei rezidivierender Osophagusvarizenblutung--Abschätzung der fetalen Strahlenexposition.