Endovascular treatment of a portal vein tear during TIPSS.
During a transjugular portosystemic stent-shunt (TIPSS) procedure a portal vein laceration occurred with subsequent intraperitoneal hemorrhage. A PTFE-covered nitinol stent was successfully placed eliminating the leak and creating a functioning portosystemic shunt. This case demonstrates both the importance of portal vein puncture more than 1 cm from the bifurcation and the necessity of maintaining a stock of available stent-grafts.
Owen
R J
RJ
Department of Clinical Radiology, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK.
Rose
J D
JD
D000800:Angioplasty, Balloon / Q000379:methods; D001807:Blood Vessel Prosthesis; D005260:Female; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D008105:Liver Cirrhosis, Biliary / Q000601:surgery; D008875:Middle Aged; D010690:Phlebography; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000293:injuries*; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects* / Q000379:methods; D011677:Punctures / Q000009:adverse effects; D015607:Stents; D016896:Treatment Outcome