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Creation of a percutaneous mesocaval shunt to control variceal bleeding in a child

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Abstract

Although transjugular intrahepatic portosystemic shunt (TIPS) placement is the standard procedure for the treatment of portal hypertension, it is often impossible to perform in patients with extrahepatic portal vein occlusion. In these patients, options for decompressing the liver are few. In this report, we present a novel solution for managing gastro-esophageal hemorrhage in a child with portal hypertension and extrahepatic portal vein occlusion, through the creation of a percutaneous mesocaval shunt.

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Authors and Affiliations

  1. University of Miami Miller School of Medicine, Miami, FL, USA

    Colin Burke

  2. Department of Radiology & Biomedical Imaging, University of California, San Francisco, 505 Parnassus Ave., Rm. M-361, Box 0628, San Francisco, CA, 94143-0628, USA

    Andrew G. Taylor, Ernest J. Ring & Robert K. Kerlan Jr.

Authors
  1. Colin Burke
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  2. Andrew G. Taylor
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  3. Ernest J. Ring
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  4. Robert K. Kerlan Jr.
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Correspondence to Andrew G. Taylor.

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Burke, C., Taylor, A.G., Ring, E.J. et al. Creation of a percutaneous mesocaval shunt to control variceal bleeding in a child. Pediatr Radiol 43, 1218–1220 (2013). https://doi.org/10.1007/s00247-013-2643-z

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  • DOI: https://doi.org/10.1007/s00247-013-2643-z

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