Detachable balloon-modified reducing stent to treat hepatic insufficiency after transjugular intrahepatic portosystemic shunt creation.
A patient developed severe hepatic insufficiency after creation of a transjugular intrahepatic portosystemic shunt, which was treated unsuccessfully with a constrained Wallstent ("reducing stent"). After a failed attempt at occluding the shunt with an occlusion balloon, a detachable balloon was placed at the portal end of the constrained stent. This balloon-modified reducing stent reduced flow while maintaining shunt patency, and the patient's hepatic insufficiency improved. She went on to undergo successful liver transplantation several months later.
Kaufman
Lauren
L
Department of Radiology, University of Pennsylvania Medical Center, 1 Silverstein, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA.
Itkin
Maxim
M
Furth
Emma E
EE
Stewart
Charmaine
C
Trerotola
Scott O
SO
D000368:Aged; D001783:Blood Flow Velocity; D005260:Female; D006801:Humans; D008102:Liver Circulation; D017093:Liver Failure / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D011169:Portal Vein; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D015607:Stents