title: Use of the Amplatzer Vascular Plug for embolization of a large retroperitoneal shunt during transjugular intrahepatic portosystemic shunt creation for gastric variceal bleeding.
abstract: A patient undergoing transjugular intrahepatic portosystemic shunt (TIPS) creation for gastric variceal hemorrhage was found to have a very large spontaneous splenorenal shunt requiring embolization after successful TIPS creation. The anticipated site of embolization was short and large in diameter and was therefore poorly suited for the use of conventional devices such as coils. Two Amplatzer Vascular Plugs and two platinum coils were used to occlude the shunt rapidly and completely.
authors.affiliation: Department of Radiology, University of Pennsylvania Medical Center, 3400 Spruce Street, 1 Silverstein, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Kessler
authors.forename: Scott O
authors.initials: SO
authors.lastname: Trerotola
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005260:Female; D005753:Gastric Mucosa / Q000098:blood supply; D006801:Humans; D011169:Portal Vein / Q000473:pathology*; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects; D019736:Prostheses and Implants; D011859:Radiography; D012187:Retroperitoneal Space / Q000098:blood supply / Q000000981:diagnostic imaging; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*