title: Transjugular intrahepatic portosystemic shunt placement in the setting of polycystic liver disease: questioning the contraindication.
abstract: Although polycystic liver disease has long been listed as a contraindication to transjugular intrahepatic portosystemic shunt (TIPS) creation, two cases of TIPS placement in that particular clinical setting have been reported. Another case is reported in this article and the clinical course over 21 months of follow-up is examined. The discussion reviews the mechanics of TIPS creation in a polycystic liver and the vague premise of the polycystic liver as a contraindication to TIPS.
authors.affiliation: Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Boulevard, St. Louis, Missouri 63110, USA.
authors.forename: E S
authors.initials: ES
authors.lastname: Shin
authors.forename: M D
authors.initials: MD
authors.lastname: Darcy
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology; D000075202:Contraindications; D003560:Cysts / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D007690:Polycystic Kidney Diseases / Q000150:complications; D011169:Portal Vein / Q000000981:diagnostic imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods; D011859:Radiography