A technique for controlled partial closure of a transjugular intrahepatic portosystemic shunt tract in a patient with hepatic encephalopathy.
A novel endovascular technique to reduce flow through a transjugular intrahepatic portosystemic shunt (TIPS) is described in a patient with severe hepatic encephalopathy. This technique allows controlled and potentially adjustable partial closure of the TIPS without thromboembolic risk. The patient experienced a dramatic clinical improvement after the procedure.
Holden
Andrew
A
Department of Radiology, Auckland City Hospital, Park Road, Grafton, Auckland 9, New Zealand. andrewh@adhb.govt.nz
Ng
Richard
R
Gane
Ed
E
Hill
Andrew
A
McCall
John
J
D000792:Angiography; D006501:Hepatic Encephalopathy / Q000601:surgery*; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000821:virology; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D015641:Radiography, Interventional