title: Laser Recanalization of a Chronically Occluded Transjugular Intrahepatic Portosystemic Shunt (TIPS).
abstract: Transjugular intrahepatic portosystemic shunt (TIPS) dysfunction is conventionally managed with balloon angioplasty, stent extension, and sharp recanalization when necessary. We describe percutaneous transjugular recanalization and neointimal excision of a chronically occluded 17-year-old TIPS using excimer laser after conventional techniques were unsuccessful. Patient clinical improvement and shunt patency were documented three weeks post-intervention.
authors.affiliation: Department of Interventional Radiology, University of Florida, 1600 SW Archer Rd., Gainesville, FL, 32610, USA. MAHMOA@radiology.ufl.edu.
authors.forename: Alaa
authors.identifier: http://orcid.org/0000-0002-1930-9185
authors.initials: A
authors.lastname: Mahmoud
authors.affiliation: Department of Interventional Radiology, University of Florida, 1600 SW Archer Rd., Gainesville, FL, 32610, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Tabriz
authors.affiliation: Department of Interventional Radiology, University of Florida, 1600 SW Archer Rd., Gainesville, FL, 32610, USA.
authors.forename: Beau B
authors.initials: BB
authors.lastname: Toskich
mesh_terms: D002908:Chronic Disease; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D054018:Lasers, Excimer / Q000627:therapeutic use*; D058426:Neointima / Q000601:surgery*; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods*; D016896:Treatment Outcome
keywords: Chronic occlusion; Laser atherectomy; Recanalization; Transjugular intrahepatic portosystemic shunt (TIPS)