Percutaneous salvage of a failing rex shunt.
Creation of a mesenterico-left portal vein (PV) shunt with use of autologous internal jugular vein (ie, Rex shunt) is a surgical option for the treatment of symptomatic extrahepatic PV occlusion. Herein a patient is described who underwent angioplasty and stent placement across a shunt stenosis by ultrasound (US)--guided percutaneous transhepatic portal access. Follow-up US has demonstrated continued shunt patency.
Thornton
Raymond H
RH
Section of Interventional Radiology and Image-Guided Therapies, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, New York, 10021, USA. thorntor@mskcc.org
Kerlan
Robert K
RK
Gordon
Roy L
RL
Laberge
Jeanne M
JM
Wilson
Mark W
MW
Wolanske
Kristen A
KA
Roberts
John P
JP
D002648:Child; D020878:Device Removal; D004621:Embolization, Therapeutic; D005260:Female; D006083:Graft Occlusion, Vascular / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000628:therapy*; D011169:Portal Vein; D011170:Portasystemic Shunt, Surgical; D015641:Radiography, Interventional; D015607:Stents; D020246:Venous Thrombosis / Q000150:complications