title: Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis.
abstract: The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. zachary.bercu@mountsinai.org.
authors.forename: Zachary L
authors.initials: ZL
authors.lastname: Bercu
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. sachinsheth@gmail.com.
authors.forename: Sachin B
authors.initials: SB
authors.lastname: Sheth
authors.affiliation: The George Washington University School of Medicine and Health Sciences, Ross Hall, 2300 Eye Street, NW, Washington, DC, 20037, USA. amir.noor@gmail.com.
authors.forename: Amir
authors.initials: A
authors.lastname: Noor
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. robert.lookstein@mountsinai.org.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Lookstein
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. aaron.fischman@mountsinai.org.
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Fischman
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. scott.nowakowski@mountsinai.org.
authors.forename: F Scott
authors.initials: FS
authors.lastname: Nowakowski
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. edward.kim@mountsinai.org.
authors.forename: Edward
authors.initials: E
authors.lastname: Kim
authors.affiliation: Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA. rahul.patel@mountsinai.org.
authors.forename: Rahul S
authors.initials: RS
authors.lastname: Patel
mesh_terms: D005260:Female; D005471:Fluoroscopy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008103:Liver Cirrhosis / Q000150:complications; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging*; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Mesocaval; Portal hypertension; Portal vein thrombosis; Shunt; Transjugular intrahepatic portosystemic shunt (TIPS)