title: Radiofrequency Wire Recanalization of Chronically Thrombosed TIPS.
abstract: Radiofrequency (RF) guide wires have been applied to cardiac interventions, recanalization of central venous thromboses, and to cross biliary occlusions. Herein, the use of a RF wire technique to revise chronically occluded transjugular intrahepatic portosystemic shunts (TIPS) is described. In both cases, conventional TIPS revision techniques failed to revise the chronically thrombosed TIPS. RF wire recanalization was successfully performed through each of the chronically thrombosed TIPS, demonstrating initial safety and feasibility in this application.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, SPC 5868 Frankel Cardiovascular Center, RM 5584, Ann Arbor, MI, 48109, USA. bmajdala@med.umich.edu.
authors.forename: Bill S
authors.initials: BS
authors.lastname: Majdalany
authors.affiliation: Division of Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH, 43210, USA.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Elliott
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH, 43210, USA.
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Michaels
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH, 43210, USA.
authors.forename: A James
authors.initials: AJ
authors.lastname: Hanje
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, SPC 5868 Frankel Cardiovascular Center, RM 5584, Ann Arbor, MI, 48109, USA.
authors.forename: Wael E A
authors.initials: WE
authors.lastname: Saad
mesh_terms: D015901:Angiography, Digital Subtraction; D017115:Catheter Ablation / Q000295:instrumentation* / Q000379:methods*; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011183:Postoperative Complications / Q000601:surgery*; D016896:Treatment Outcome; D056824:Upper Extremity Deep Vein Thrombosis / Q000601:surgery*
keywords: Radiofrequency wire; TIPS occlusion; TIPS recanalization; TIPS revision; Transjugular intrahepatic portosystemic shunt (TIPS)