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Transjugular intrahepatic portosystemic shunt after previous recanalization of a chronically thrombosed portal vein via a transmesenteric approach

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Abstract

We report a cirrhotic patient with complete occlusion of the portal vein with marked cavernous transformation due to chronic thrombosis in whom a transjugular intrahepatic portosystemic shunt (TIPS) was success-fully created after direct minilaparotomy mesenteric vein catheterization, lysis and aspiration of the thrombus, and stenting in the portal vein. The methods used, we believe, provide a new technique for performing TIPS in chronically thrombosed portal veins in which previously no effective surgical therapeutic options were available.

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Authors and Affiliations

  1. Department of Radiology, Kanazawa University School of Medicine, 13-1 Takara-machi, 920, Kanazawa, Japan

    Osamu Matsui M.D., Jun Yoshikawa, Masumi Kadoya, Tosifumi Gabata & Tsutomu Takashima

  2. First Department of Internal Medicine, Kanazawa University School of Medicine, 13-1 Takara-machi, 920, Kanazawa, Japan

    Takeshi Urabe, Masasi Unoura & Kenichi Kobayashi

Authors
  1. Osamu Matsui M.D.
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  2. Jun Yoshikawa
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  3. Masumi Kadoya
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  4. Tosifumi Gabata
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  5. Tsutomu Takashima
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  6. Takeshi Urabe
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  7. Masasi Unoura
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  8. Kenichi Kobayashi
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Matsui, O., Yoshikawa, J., Kadoya, M. et al. Transjugular intrahepatic portosystemic shunt after previous recanalization of a chronically thrombosed portal vein via a transmesenteric approach. Cardiovasc Intervent Radiol 19, 352–355 (1996). https://doi.org/10.1007/BF02570190

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  • DOI: https://doi.org/10.1007/BF02570190

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