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Case report


Transjugular intrahepatic portosystemic shunt for maintenance of portal venous patency in liver transplant candidates.

Ron Charles GabaAhmad Parvinian
Department of Radiology, Division of Interventional Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois, United States
Date of Submission: 24-Apr-2013, Date of Acceptance: 09-Jul-2013, Date of Web Publication: 29-Jul-2013.
Corresponding Author:
Corresponding Author

Ron Charles Gaba

Department of Radiology, Division of Interventional Radiology University of Illinois Hospital and Health Sciences System, 1740 West Taylor Street, MC 931, Chicago, Illinois‑60612, United States.
E-mail: rgaba@uic.edu

Corresponding Author:
Corresponding Author

Ron Charles Gaba

Department of Radiology, Division of Interventional Radiology University of Illinois Hospital and Health Sciences System, 1740 West Taylor Street, MC 931, Chicago, Illinois‑60612, United States.
E-mail: rgaba@uic.edu

DOI: 10.4103/2156-7514.115761 Facebook Twitter Google Linkedin

ABSTRACT


Maintenance of portal venous patency is vital to liver transplant candidates, as the presence of portal vein thrombosis (PVT) adversely impacts clinical outcomes by increasing surgical complexity and decreasing postoperative survival. By enhancing portal venous blood flow, transjugular intrahepatic portosystemic shunt (TIPS) creation may enable clearance of PVT and preservation of portal venous patency in cirrhotic patients. Herein, we describe four cases in which TIPS produced and sustained an open portal venous system in liver transplant candidates with partial PVT. All patients demonstrated rapid and effective flow-enabled clearance of clot and intermediate to long-term preservation of portal venous flow. On this basis, we propose that maintenance of portal venous patency in liver transplant candidates with partial PVT represents a developing indication for TIPS.
Keywords: Liver Transplant, Portal Vein Thrombosis, Transjugular Intrahepatic Portosystemic Shunt

Cited in 1 Document

  1. J. Lakhoo and R.C. Gaba (2016) Outcomes of transjugular intrahepatic portosystemic shunt creation for flow-enabled dissolution of spleno-mesenterico-portal venous thrombosis. Diagnostic and Interventional Imaging 97(11):1085. doi: 10.1016/j.diii.2016.07.005

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