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Acute Liver Failure After a Late TIPSS Revision

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Abstract

We report a rare case of late transjugular intrahepatic portosystemic stent shunt (TIPSS) occlusion due to progressive stent protrusion into the periportal liver parenchyma, which was a result of delayed liver shrinkage 2 years after TIPSS. The initial TIPSS procedure had been carried out in a 52-year-old man as a bridge for liver transplantation because of post-alcoholic liver cirrhosis. We describe the applied TIPSS recanalization and revision technique. Immediately after TIPSS revision acute liver failure developed, which required emergency liver transplantation.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    Boris Radeleff, Christof-Matthias Sommer, Simone Schawo, Ruben Lopez-Benitez, Guenter W. Kauffmann & Goetz M. Richter

  2. Departments of Internal Medicine IV, Gastroenterology, Hepatology, Infectious Diseases, Intoxications, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    Peter Sauer

  3. Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany

    Peter Schemmer

Authors
  1. Boris Radeleff
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  2. Christof-Matthias Sommer
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  3. Simone Schawo
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  4. Ruben Lopez-Benitez
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  5. Peter Sauer
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  6. Peter Schemmer
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  7. Guenter W. Kauffmann
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  8. Goetz M. Richter
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Correspondence to Boris Radeleff.

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Radeleff, B., Sommer, CM., Schawo, S. et al. Acute Liver Failure After a Late TIPSS Revision. Cardiovasc Intervent Radiol 31, 209–214 (2008). https://doi.org/10.1007/s00270-007-9215-2

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  • DOI: https://doi.org/10.1007/s00270-007-9215-2

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