Abstract
During a transjugular portosystemic stent-shunt (TIPSS) procedure a portal vein laceration occurred with subsequent intraperitoneal hemorrhage. A PTFE-covered nitinol stent was successfully placed eliminating the leak and creating a functioning portosystemic shunt. This case demonstrates both the importance of portal vein puncture more than 1 cm from the bifurcation and the necessity of maintaining a stock of available stent-grafts.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Jalan R, Redhead DN, Hayes PC (1995) Transjugular portosystemic stent shunt. Nat Med J India 8:15–21
Stanley AJ, Jalan R, Forrest EH, Redhead DN, Hayes PC (1996) Long-term follow up of transjugular intrahepatic portosystemic stent shunt (TIPSS) for the treatment of portal hypertension: Results in 130 patients. Gut 39:479–485
Haskal ZJ, Davis A, McAllister A, Furth EE (1997) PTFE-encapsulated endovaseular stent graft for transjugular intrahepatic portosystemic shunts: Experimental evaluation. Radiology 205:682–688
DiSalle RS, Dolmatch BL (1998) Treatment of TIPS stenosis with ePTFE graft-covered stents. Cardiovasc Intervent Radiol 21:172–175
Roeren T, Richter GM, Limberg B, Jacohy IR, Kauffmann GW (1996) Ultrasound guided puncture of the portal vein in transjugular intrahepatic portosystemic stent shunt (TIPSS). Radiologe 36:677–682
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Owen, R.J.T., Rose, J.D.G. Endovascular treatment of a portal vein tear during TIPSS. Cardiovasc Intervent Radiol 23, 230–232 (2000). https://doi.org/10.1007/s002700010050
Issue Date:
DOI: https://doi.org/10.1007/s002700010050