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Recanalization of TIPSS via transsplenic puncture

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Abstract

Transjugular intrahepatic portosystemic shunt (TIPSS) has important role in the management of Budd-Chiari syndrome (BCS). Stent dysfunction rate up to 80% at 2 years limits the use of TIPSS. Reintervention is required if shunt develops occlusion or stenosis. Different techniques have been reported for the catheterization of TIPSS in cases of an occluded stent. In those failing a standard transvenous approach, the Colapinto needle technique, a combined transvenous transhepatic approach or transplenic approaches have been described. Here, we report our experience in a challenging TIPSS recanalization using a transsplenic approach.

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Authors and Affiliations

  1. Department of Gastroenterology, Seth G S Medical College and KEM Hospital, Mumbai, 400 012, India

    Abhinav Jain, Vinit Kahalekar, Deepak Gupta, Sangeet Sawrav, S. Kiran & Akash Shukla

  2. Department of Radiology, Seth G S Medical College and KEM Hospital, Mumbai, 400 012, India

    Shaji Marar

Authors
  1. Abhinav Jain
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  2. Vinit Kahalekar
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  3. Shaji Marar
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  4. Deepak Gupta
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  5. Sangeet Sawrav
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  6. S. Kiran
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  7. Akash Shukla
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Correspondence to Akash Shukla.

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Jain, A., Kahalekar, V., Marar, S. et al. Recanalization of TIPSS via transsplenic puncture. Indian J Gastroenterol 36, 248–251 (2017). https://doi.org/10.1007/s12664-017-0762-4

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  • DOI: https://doi.org/10.1007/s12664-017-0762-4

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