Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement
Abstract Background To report the technique and outcome of ultrasound-guided percutaneous access to the superior mesenteric vein (SMV) for balloon-assisted portal vein recanalization–transjugular intrahepatic portosystemic shunt (PVR-TIPS) in a patient with chronic portal venous and splenic vein occ...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-06-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-023-00379-6 |
| _version_ | 1827928435569197056 |
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| author | Cornelia L. A. Dewald Frank K. Wacker Benjamin Maasoumy Jan B. Hinrichs |
| author_facet | Cornelia L. A. Dewald Frank K. Wacker Benjamin Maasoumy Jan B. Hinrichs |
| author_sort | Cornelia L. A. Dewald |
| collection | DOAJ |
| description | Abstract Background To report the technique and outcome of ultrasound-guided percutaneous access to the superior mesenteric vein (SMV) for balloon-assisted portal vein recanalization–transjugular intrahepatic portosystemic shunt (PVR-TIPS) in a patient with chronic portal venous and splenic vein occlusion. Case presentation A 51-year-old, non-cirrhotic patient with severe portal hypertension was admitted for PVR-TIPS. Neither splenic nor hepatic access was feasible due to chronic portal and splenic vein occlusion. Percutaneous ultrasound-guided direct puncture of the SMV was performed to obtain access for balloon-assisted PVR-TIPS. The transmesenteric approach in combination with a balloon puncture technique for PVR-TIPS was successful, and no immediate complications were observed post-procedure. The subsequent follow-up exams showed patent TIPS and SMV without signs of intraabdominal hemorrhage. Conclusion Percutaneous ultrasound-guided superior mesenteric vein access for balloon-assisted PVR-TIPS is a feasible option in cases where hepatic or splenic access is not. |
| first_indexed | 2024-03-13T06:08:40Z |
| format | Article |
| id | doaj.art-a18f51da321b4fe6ba5eaed27e43393f |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-03-13T06:08:40Z |
| publishDate | 2023-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-a18f51da321b4fe6ba5eaed27e43393f2023-06-11T11:26:23ZengSpringerOpenCVIR Endovascular2520-89342023-06-01611610.1186/s42155-023-00379-6Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placementCornelia L. A. Dewald0Frank K. Wacker1Benjamin Maasoumy2Jan B. Hinrichs3Institute for Diagnostic and Interventional Radiology, Hannover Medical SchoolInstitute for Diagnostic and Interventional Radiology, Hannover Medical SchoolDepartment of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical SchoolInstitute for Diagnostic and Interventional Radiology, Hannover Medical SchoolAbstract Background To report the technique and outcome of ultrasound-guided percutaneous access to the superior mesenteric vein (SMV) for balloon-assisted portal vein recanalization–transjugular intrahepatic portosystemic shunt (PVR-TIPS) in a patient with chronic portal venous and splenic vein occlusion. Case presentation A 51-year-old, non-cirrhotic patient with severe portal hypertension was admitted for PVR-TIPS. Neither splenic nor hepatic access was feasible due to chronic portal and splenic vein occlusion. Percutaneous ultrasound-guided direct puncture of the SMV was performed to obtain access for balloon-assisted PVR-TIPS. The transmesenteric approach in combination with a balloon puncture technique for PVR-TIPS was successful, and no immediate complications were observed post-procedure. The subsequent follow-up exams showed patent TIPS and SMV without signs of intraabdominal hemorrhage. Conclusion Percutaneous ultrasound-guided superior mesenteric vein access for balloon-assisted PVR-TIPS is a feasible option in cases where hepatic or splenic access is not.https://doi.org/10.1186/s42155-023-00379-6Balloon-assisted PVR-TIPSPortal vein occlusionPortal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS)Transmesenteric access |
| spellingShingle | Cornelia L. A. Dewald Frank K. Wacker Benjamin Maasoumy Jan B. Hinrichs Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement CVIR Endovascular Balloon-assisted PVR-TIPS Portal vein occlusion Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) Transmesenteric access |
| title | Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement |
| title_full | Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement |
| title_fullStr | Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement |
| title_full_unstemmed | Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement |
| title_short | Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) with superior mesenteric vein access and balloon-assisted shunt placement |
| title_sort | portal vein recanalization transjugular intrahepatic portosystemic shunt pvr tips with superior mesenteric vein access and balloon assisted shunt placement |
| topic | Balloon-assisted PVR-TIPS Portal vein occlusion Portal Vein Recanalization–Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) Transmesenteric access |
| url | https://doi.org/10.1186/s42155-023-00379-6 |
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