title: Treatment of portosystemic shunt myelopathy with a stent graft deployed through a transjugular intrahepatic route.
abstract: A case of surgically created splenorenal shunt complicated with shunt myelopathy was successfully managed by placement of a stent graft within the splenic vein to close the portosystemic shunt and alleviate myelopathy. To our knowledge, this is the first report of a case of shunt myelopathy in a patient with noncirrhotic portal fibrosis without cirrhosis treated by a novel technique wherein a transjugular intrahepatic route was adopted to deploy the stent graft.
authors.affiliation: Department of Radiology, Institute of Liver and Biliary Sciences, D-1 Vasant Kunj, New Delhi, 110070, India. deepakjain02@yahoo.com
authors.forename: Deepak
authors.initials: D
authors.lastname: Jain
authors.forename: Ankur
authors.initials: A
authors.lastname: Arora
authors.forename: Pranjal
authors.initials: P
authors.lastname: Deka
authors.forename: Amar
authors.initials: A
authors.lastname: Mukund
authors.forename: Shorav
authors.initials: S
authors.lastname: Bhatnagar
authors.forename: Deepti
authors.initials: D
authors.lastname: Jindal
authors.forename: Niteen
authors.initials: N
authors.lastname: Kumar
authors.forename: Viniyendra
authors.initials: V
authors.lastname: Pamecha
mesh_terms: D000328:Adult; D057510:Endovascular Procedures / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000473:pathology / Q000601:surgery*; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects* / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D013118:Spinal Cord Diseases / Q000209:etiology* / Q000473:pathology / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D018617:Ultrasonography, Doppler, Pulsed