Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding
Abstract Background Transmesenteric access for portal vein reconstruction and transjugular intrahepatic portosystemic shunt allows for intervention in patients with unfavorable anatomy and can be performed via multiple methods but may be difficult to obtain in patients with complex anatomy. Case pre...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-12-01
|
| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-023-00377-8 |
| _version_ | 1797376776726380544 |
|---|---|
| author | Mari Tanaka Kei Yamada Sanjeeva Kalva |
| author_facet | Mari Tanaka Kei Yamada Sanjeeva Kalva |
| author_sort | Mari Tanaka |
| collection | DOAJ |
| description | Abstract Background Transmesenteric access for portal vein reconstruction and transjugular intrahepatic portosystemic shunt allows for intervention in patients with unfavorable anatomy and can be performed via multiple methods but may be difficult to obtain in patients with complex anatomy. Case presentation We present a case report describing a method of obtaining transmesenteric access in the porta hepatis to facilitate direct intrahepatic portosystemic shunt creation in a young patient with recurrent variceal bleeding. This patient anatomy was unfavorable, and initially he was thought to be a poor candidate for any intervention, but this technique allowed for successful decompression of the varices safely and effectively. Conclusions This is a technique to consider in similar complex cases and expands treatment for those who previously would not have been considered for intrahepatic shunt formation. Graphical Abstract |
| first_indexed | 2024-03-08T19:43:30Z |
| format | Article |
| id | doaj.art-7fba48372e5145fb93ea46bf37e49756 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-03-08T19:43:30Z |
| publishDate | 2023-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-7fba48372e5145fb93ea46bf37e497562023-12-24T12:30:14ZengSpringerOpenCVIR Endovascular2520-89342023-12-01611510.1186/s42155-023-00377-8Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleedingMari Tanaka0Kei Yamada1Sanjeeva Kalva2Massachusetts General Interventional Radiology, Massachusetts General HospitalMassachusetts General Interventional Radiology, Massachusetts General HospitalHarvard Medical SchoolAbstract Background Transmesenteric access for portal vein reconstruction and transjugular intrahepatic portosystemic shunt allows for intervention in patients with unfavorable anatomy and can be performed via multiple methods but may be difficult to obtain in patients with complex anatomy. Case presentation We present a case report describing a method of obtaining transmesenteric access in the porta hepatis to facilitate direct intrahepatic portosystemic shunt creation in a young patient with recurrent variceal bleeding. This patient anatomy was unfavorable, and initially he was thought to be a poor candidate for any intervention, but this technique allowed for successful decompression of the varices safely and effectively. Conclusions This is a technique to consider in similar complex cases and expands treatment for those who previously would not have been considered for intrahepatic shunt formation. Graphical Abstracthttps://doi.org/10.1186/s42155-023-00377-8Portal hypertensionIntracardiac US ICETIPS/DIPS |
| spellingShingle | Mari Tanaka Kei Yamada Sanjeeva Kalva Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding CVIR Endovascular Portal hypertension Intracardiac US ICE TIPS/DIPS |
| title | Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding |
| title_full | Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding |
| title_fullStr | Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding |
| title_full_unstemmed | Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding |
| title_short | Successful direct intrahepatic portosystemic shunt (DIPS) creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding |
| title_sort | successful direct intrahepatic portosystemic shunt dips creation following transmesenteric porta hepatis access in a young patient with recurrent variceal bleeding |
| topic | Portal hypertension Intracardiac US ICE TIPS/DIPS |
| url | https://doi.org/10.1186/s42155-023-00377-8 |
| work_keys_str_mv | AT maritanaka successfuldirectintrahepaticportosystemicshuntdipscreationfollowingtransmesentericportahepatisaccessinayoungpatientwithrecurrentvaricealbleeding AT keiyamada successfuldirectintrahepaticportosystemicshuntdipscreationfollowingtransmesentericportahepatisaccessinayoungpatientwithrecurrentvaricealbleeding AT sanjeevakalva successfuldirectintrahepaticportosystemicshuntdipscreationfollowingtransmesentericportahepatisaccessinayoungpatientwithrecurrentvaricealbleeding |