Recanalization of an occluded intrahepatic portosystemic covered stent via the percutaneous transhepatic approach
Journal
Korean Journal of Radiology
Journal Volume
11
Journal Issue
4
Pages
469-471
Date Issued
2010
Author(s)
Abstract
A 41-year-old woman with liver cirrhosis had recurrent portal hypertension and bleeding from esophageal varices due to complete occlusion of a previously inserted transjugular intrahepatic portosystemic shunt stent. Because recanalization of the stent by the transjugular approach was unsuccessful, ultrasound-guided entry to the splenic vein and portal vein was used. After catheter-directed intrathrombus thrombolysis, successful opening of the stent was achieved and a stent was placed. We herein report a rare case in which thrombolysis and recanalization of a TIPS stent were performed via a percutaneous transhepatic approach.
SDGs
Other Subjects
urokinase; warfarin; adult; article; blood clot lysis; case report; clinical feature; Doppler echography; esophagus varices bleeding; female; human; liver cirrhosis; liver vein obstruction; percutaneous thrombectomy; percutaneous transhepatic drainage; portal hypertension; portal phlebography; portal vein; recanalization; recurrent disease; splenic vein; stent thrombosis; surgical approach; transjugular intrahepatic portosystemic shunt; vein catheterization; Adult; Esophageal and Gastric Varices; Female; Humans; Hypertension, Portal; Liver Cirrhosis; Portasystemic Shunt, Transjugular Intrahepatic; Reoperation; Stents; Vascular Patency
Type
journal article