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Laser Recanalization of a Chronically Occluded Transjugular Intrahepatic Portosystemic Shunt (TIPS)

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Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) dysfunction is conventionally managed with balloon angioplasty, stent extension, and sharp recanalization when necessary. We describe percutaneous transjugular recanalization and neointimal excision of a chronically occluded 17-year-old TIPS using excimer laser after conventional techniques were unsuccessful. Patient clinical improvement and shunt patency were documented three weeks post-intervention.

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Authors and Affiliations

  1. Department of Interventional Radiology, University of Florida, 1600 SW Archer Rd., Gainesville, FL, 32610, USA

    Alaa Mahmoud, David M. Tabriz & Beau B. Toskich

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  1. Alaa Mahmoud
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  2. David M. Tabriz
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  3. Beau B. Toskich
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Correspondence to Alaa Mahmoud.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Mahmoud, A., Tabriz, D.M. & Toskich, B.B. Laser Recanalization of a Chronically Occluded Transjugular Intrahepatic Portosystemic Shunt (TIPS). Cardiovasc Intervent Radiol 40, 1473–1476 (2017). https://doi.org/10.1007/s00270-017-1646-9

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  • DOI: https://doi.org/10.1007/s00270-017-1646-9

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