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Iatrogenic dissection of the portal vein during TIPS procedure

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  • Abdominal Radiology
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Abstract

Dissection of the portal vein is a rare entity which has been rarely described during transjugular intrahepatic portosystemic shunt (TIPS) procedure. We report three cases of dissection during this procedure and their complications. One dissection was immediately treated with coaxial stents. The two others were complicated either by a thrombus or by a false aneurysm. In the first case a second parallel stent was used to treat this complication. The patient with the portal vein false aneurysm was transplanted 4 days after this diagnosis. Portal vein dissection in TIPS procedure appeared to be less rare than has been reported and must be considered as a potential cause of TIPS dysfunction.

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References

  1. LaBerge JM, Ring EJ, Gordon RL, Lake JR, Doherty MM, Somberg KA, Roberts JR Ascher NL (1993) Creation of trans-jugular intrahepatic portosystemic shunts with the Wallstent endoprosthesis: results in 100 patients. Radiology 187: 413–420

    PubMed  CAS  Google Scholar 

  2. Freedman AM, Sanyal AJ, Tisnado J, Cole PE, Shiffman ML, Luketic VA, Purdum PR Darcy MD, Posner MP (1993) Complications of transjugular intrahepatic portosystemic shunt: a comprehensive review. Radiographics 13:1185–210

    PubMed  CAS  Google Scholar 

  3. Petersen BD, Saxon RR, Barton RE, Lakin PC (1995) TIPS: management of major procedural complications. Semin Intervent Radiol 12: 355–363

    Google Scholar 

  4. Freedman AM, Sanyal AJ (1994) Complications of transjugular intrahepatic portosystemic shunts. Semin Intervent Radiol 11:161–177

    Article  Google Scholar 

  5. Rössle M, Siegerstetter V, Huber M, Ochs A (1998) The first decade of the transjugular intrahepatic portosystemic shunt (TIPS): state of the art. Liver 18: 73–89

    PubMed  Google Scholar 

  6. Haskal ZJ, Pentecost MJ, Rubin RA (1993) Hepatic arterial injury after transjugular intrahepatic portosystemic shunt placement: report of two cases. Radiology 188: 85–88

    PubMed  CAS  Google Scholar 

  7. Sawley R, Wall SD, Yee J, Hayward I (1997) Hepatic infarction: unusual complication of transjugular intrahepatic portosystemic shunt. J Vase Interv Radiol 8:129–132

    Article  Google Scholar 

  8. Helton WS, Beishaw A, Althaus S, Park S, Coldwell D, Johansen K (1993) Critical appraisal of angiographic portacaval shunt (TIPS). Am J Surg 165: 566–571

    Article  PubMed  CAS  Google Scholar 

  9. Saxon RR, Barton RE, Keller FS, Rosch J (1995) Prevention, detection and treatment of TIPS stenosis and occlusion. Semin Intervent Radiol 12: 375–383

    Article  Google Scholar 

  10. Saxon RR, Barton RE, Keller FS, Rosch J (1996) Stenosis and occlusion after TIPS: prevention and correction. In: Conn HO, Palmaz J, Rosch J, Rossle M (eds) TIPS: transjugular intrahepatic portal-systemic stent-shunts. Igaku-Shoin, New York, pp 267–280

    Google Scholar 

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Petit, P., Lazar, I., Chagnaud, C. et al. Iatrogenic dissection of the portal vein during TIPS procedure. Eur. Radiol. 10, 930–934 (2000). https://doi.org/10.1007/s003300051039

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  • DOI: https://doi.org/10.1007/s003300051039

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