title: Acute liver failure after a late TIPSS revision.
abstract: We report a rare case of late transjugular intrahepatic portosystemic stent shunt (TIPSS) occlusion due to progressive stent protrusion into the periportal liver parenchyma, which was a result of delayed liver shrinkage 2 years after TIPSS. The initial TIPSS procedure had been carried out in a 52-year-old man as a bridge for liver transplantation because of post-alcoholic liver cirrhosis. We describe the applied TIPSS recanalization and revision technique. Immediately after TIPSS revision acute liver failure developed, which required emergency liver transplantation.
authors.affiliation: Department of Diagnostic Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany. Boris_radeleff@med.uni-heidelberg.de
authors.forename: Boris
authors.initials: B
authors.lastname: Radeleff
authors.forename: Christof-Matthias
authors.initials: CM
authors.lastname: Sommer
authors.forename: Simone
authors.initials: S
authors.lastname: Schawo
authors.forename: Ruben
authors.initials: R
authors.lastname: Lopez-Benitez
authors.forename: Peter
authors.initials: P
authors.lastname: Sauer
authors.forename: Peter
authors.initials: P
authors.lastname: Schemmer
authors.forename: Guenter W
authors.initials: GW
authors.lastname: Kauffmann
authors.forename: Goetz M
authors.initials: GM
authors.lastname: Richter
mesh_terms: D001663:Bilirubin / Q000097:blood; D004638:Emergency Treatment / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D006932:Hyperbilirubinemia / Q000150:complications / Q000175:diagnosis; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D017114:Liver Failure, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects / Q000379:methods; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008875:Middle Aged; D009929:Organ Size; D011169:Portal Vein / Q000000981:diagnostic imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D011172:Portography; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure; D011655:Pulmonary Embolism / Q000209:etiology; D012086:Reoperation; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis; D013995:Time; D000637:Transaminases / Q000097:blood; D014463:Ultrasonography
chemical_list: D000637:Transaminases; D001663:Bilirubin