title: A technique for controlled partial closure of a transjugular intrahepatic portosystemic shunt tract in a patient with hepatic encephalopathy.
abstract: 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.
authors.affiliation: Department of Radiology, Auckland City Hospital, Park Road, Grafton, Auckland 9, New Zealand. andrewh@adhb.govt.nz
authors.forename: Andrew
authors.initials: A
authors.lastname: Holden
authors.forename: Richard
authors.initials: R
authors.lastname: Ng
authors.forename: Ed
authors.initials: E
authors.lastname: Gane
authors.forename: Andrew
authors.initials: A
authors.lastname: Hill
authors.forename: John
authors.initials: J
authors.lastname: McCall
mesh_terms: 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