CardioVascular and Interventional Radiology

, Volume 24, Issue 1, pp 64–67 | Cite as

Infarction and laceration of liver parenchyma caused by wedged CO2 venography before TIPS insertion

  • Ingo Theuerkauf
  • Holger Strunk
  • Karl August Brensing
  • Hans Heinz Schild
  • Ulrich Pfeifer
Case Reports


We describe the fatal outcome of an elective TIPS procedure performed in a 43-year-old man with alcoholic cirrhosis. Wedged hepatic venography with CO2 was the reason for infarction and laceration of liver parenchyma resulting in a subcapsular hematoma and subsequent intra-abdominal bleeding. This is the first report of this complication after the use of CO2 in a cirrhotic patient.

Key words

Wedged venography, complications TIPS, complications Liver, injuries Shunts, portosystemic 


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Copyright information

© Springer-Verlag New York, Inc 2001

Authors and Affiliations

  • Ingo Theuerkauf
    • 1
  • Holger Strunk
    • 2
  • Karl August Brensing
    • 3
  • Hans Heinz Schild
    • 2
  • Ulrich Pfeifer
    • 1
  1. 1.Department of PathologyUniversity of BonnBonnGermany
  2. 2.Department of RadiologyUniversity of BonnBonnGermany
  3. 3.Department of internal MedicineUniversity of BonnBonnGermany

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