Transjugular intrahepatic portosystemic shunt in a living donor left lateral segment liver transplant recipient: technical considerations.
The technical aspects of placing transjugular intrahepatic portosystemic shunts (TIPS) in liver transplant recipients with full allografts have well been described. In the era of live related hepatic donors, and the growing population of their recipients, it is likely that TIPS shunts will be placed in failing transplant lobes/segments. Growing allografts that are initially undersized can have an unconventional orientation of the hepatic and portal veins, which may also change with remodeling and rotation of the graft during their growth. The authors review the technical differences for TIPS procedures in transplants, particularly split grafts. They describe a technically successful TIPS procedure in an undersized and remodeled left lateral segment liver recipient and the additional difficulty this may pose.
Saad
Wael E A
WE
University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642-8648, USA. wspikes@yahoo.com
Davies
Mark G
MG
Lee
David E
DE
Patel
Nikhil C
NC
Sahler
Lawrence G
LG
Sasson
Talia
T
Kitanososno
Takashi
T
Waldman
David L
DL
D000293:Adolescent; D006801:Humans; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*