CardioVascular and Interventional Radiology

, Volume 23, Issue 2, pp 145–149

Transjugular intrahepatic portosystemic shunt in a patient with cavernomatous portal vein occlusion


  • Hiroshi Kawamata
    • Department of RadiologyNippon Medical School
  • Tatsuo Kumazaki
    • Department of RadiologyNippon Medical School
  • Hidenori Kanazawa
    • The Third Department of Internal MedicineNippon Medical School
  • Shuji Takahashi
    • Department of RadiologyNippon Medical School
  • Hiroyuki Tajima
    • Department of RadiologyNippon Medical School
  • Hiromitsu Hayashi
    • Department of RadiologyNippon Medical School
Case Reports

DOI: 10.1007/s002709910030

Cite this article as:
Kawamata, H., Kumazaki, T., Kanazawa, H. et al. Cardiovasc Intervent Radiol (2000) 23: 145. doi:10.1007/s002709910030


A 23-year-old woman with liver cirrhosis secondary to primary sclerosing cholangitis was referred to us for the treatment of recurrent bleeding from esophageal varices that had been refractory to endoscopic sclerotherapy. Her portal vein was occluded, associated with cavernous transformation. A transjugular intrahepatic portosystemic shunt (TIPS) was performed after a preprocedural three-dimensional computed tomographic angiography evaluation to determine feasibility. The portal vein system was recanalized and portal blood flow increased markedly after TIPS. Esophageal varices disappeared 3 weeks after TIPS. Re-bleeding and hepatic encephalopathy were absent for 3 years after the procedure. We conclude that with adequate preprocedural evaluation, TIPS can be performed safely even in patients with portal vein occlusion associated with cavernous transformation.

Key Words

Liver, cirrhosisInterventional procedurePortal vein, thrombosisShunts, portosystemic

Copyright information

© Springer-Verlag 2000