Successful treatment of TIPS-induced hepatic failure with an hourglass stent-graft: a simple new technique for reducing shunt flow.
A simple new technique for creating an hourglass reducing stent-graft by means of targeted balloon expansion of each end of a commercially available device is presented. A 67-year-old man with progressive hepatic failure after TIPS creation was treated. A 48-mm-long Jostent stent-graft was placed inside the TIPS through a 10-F introducer and fully expanded only at the proximal and distal ends, resulting in an hourglass shape. Immediate increase of portal pressure was achieved, followed by complete clinical recovery. Advantages of covered versus bare reducing stents are discussed.
Quaretti
P
P
Department of Radiology, Public Hospital of Piacenza, Piacenza, Italy. s.rossi@smatteo.pv.it
Michieletti
E
E
Rossi
S
S
D000368:Aged; D001807:Blood Vessel Prosthesis; D004932:Esophageal and Gastric Varices; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D007601:Jugular Veins; D017093:Liver Failure / Q000209:etiology / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects* / Q000379:methods; D012086:Reoperation; D015607:Stents