title: Percutaneous salvage of a failing rex shunt.
abstract: 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.
authors.affiliation: 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
authors.forename: Raymond H
authors.initials: RH
authors.lastname: Thornton
authors.forename: Robert K
authors.initials: RK
authors.lastname: Kerlan
authors.forename: Roy L
authors.initials: RL
authors.lastname: Gordon
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Laberge
authors.forename: Mark W
authors.initials: MW
authors.lastname: Wilson
authors.forename: Kristen A
authors.initials: KA
authors.lastname: Wolanske
authors.forename: John P
authors.initials: JP
authors.lastname: Roberts
mesh_terms: 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