title: Reversal of transjugular intrahepatic portosystemic shunt (TIPS)-induced hepatic encephalopathy using a strictured self-expanding covered stent.
abstract: Hepatic encephalopathy is a known complication following percutaneous transjugular intrahepatic portosystemic shunt (TIPS) placement. We describe herein a simple and effective strategy of TIPS revision by creating an intraluminal stricture within a self-expanding covered stent, which is deployed in the portosystemic shunt to reduce the TIPS blood flow. This technique was successful in reversing a TIPS-induced hepatic encephalopathy in our patient.
authors.affiliation: Division of Vascular Surgery & Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: Mitchell W
authors.initials: MW
authors.lastname: Cox
authors.forename: George D
authors.initials: GD
authors.lastname: Soltes
authors.forename: Peter H
authors.initials: PH
authors.lastname: Lin
authors.forename: Ruth L
authors.initials: RL
authors.lastname: Bush
authors.forename: Alan B
authors.initials: AB
authors.lastname: Lumsden
mesh_terms: D006501:Hepatic Encephalopathy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000379:methods*; D015607:Stents