Combined transabdominal and transjugular recanalization of thrombosed TIPS, portal and proximal splenic veins.
We present a case of TIPS occlusion in which a small caliber transhepatic safety or anchoring wire in combination with a standard transjugular approach were utilized to recanalize the TIPS, portal and splenic veins. This technique may be a useful adjunct to the typical methods used for recanalization of thrombosed TIPS, portal and splenic veins without the need of large caliber transhepatic sheath access.
Bloss
M F
MF
Department of Radiology, Dartmouth Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756, USA.
Lenz
J
J
Gemery
J
J
D000005:Abdomen / Q000098:blood supply* / Q000000981:diagnostic imaging; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000601:surgery*; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D014471:Umbilical Veins / Q000000981:diagnostic imaging / Q000601:surgery; D014654:Vascular Patency / Q000502:physiology