Successful transfemoral creation of an intrahepatic portosystemic shunt with use of the Viatorr device.
Although the large majority of cases are anatomically favorable and therefore technically feasible, congenital or acquired conditions may complicate or even preclude successful creation of a transjugular intrahepatic portosystemic shunt (TIPS). The present report describes the use of the inferior right hepatic vein from a femoral vein access to obtain portal access and place a covered stent, reconstruct a partially occluded portal vein, and embolize large gastric varices in a patient with a persistent left superior vena cava (SVC) and absent right SVC.
Division of Cardiovascular/Interventional Radiology, Stanford University Medical Center, California 94305-5642, USA. dansze@stanford.edu
Daniel Y
DY
Sze
Karl E
KE
Magsamen
Joan K
JK
Frisoli
D002404:Catheterization; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000601:surgery*; D005260:Female; D005268:Femoral Vein; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008875:Middle Aged; D010690:Phlebography; D011138:Polytetrafluoroethylene; D011170:Portasystemic Shunt, Surgical / Q000295:instrumentation / Q000379:methods*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000002:abnormalities
D011138:Polytetrafluoroethylene