Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis

Zachary L. Bercu; Sachin B. Sheth; Amir Noor; Robert A. Lookstein; Aaron M. Fischman; F. Scott Nowakowski; Edward Kim; Rahul S. Patel

doi:10.1007/s00270-014-0989-8

Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis

Zachary L. Bercu, Sachin B. Sheth, Amir Noor, Robert A. Lookstein, Aaron M. Fischman, F. Scott Nowakowski, Edward Kim, Rahul S. Patel

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.

Original language	English
Pages (from-to)	1316-1319
Number of pages	4
Journal	CardioVascular and Interventional Radiology
Volume	38
Issue number	5
DOIs	https://doi.org/10.1007/s00270-014-0989-8
State	Published - 14 Oct 2015

Keywords

Mesocaval
Portal hypertension
Portal vein thrombosis
Shunt
Transjugular intrahepatic portosystemic shunt (TIPS)

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10.1007/s00270-014-0989-8

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title = "Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis",

abstract = "The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.",

keywords = "Mesocaval, Portal hypertension, Portal vein thrombosis, Shunt, Transjugular intrahepatic portosystemic shunt (TIPS)",

author = "Bercu, {Zachary L.} and Sheth, {Sachin B.} and Amir Noor and Lookstein, {Robert A.} and Fischman, {Aaron M.} and Nowakowski, {F. Scott} and Edward Kim and Patel, {Rahul S.}",

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T1 - Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis

AU - Bercu, Zachary L.

AU - Sheth, Sachin B.

AU - Noor, Amir

AU - Lookstein, Robert A.

AU - Fischman, Aaron M.

AU - Nowakowski, F. Scott

AU - Kim, Edward

AU - Patel, Rahul S.

PY - 2015/10/14

Y1 - 2015/10/14

N2 - The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.

AB - The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.

KW - Mesocaval

KW - Portal hypertension

KW - Portal vein thrombosis

KW - Shunt

KW - Transjugular intrahepatic portosystemic shunt (TIPS)

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DO - 10.1007/s00270-014-0989-8

M3 - Article

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SN - 0174-1551

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JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

IS - 5

ER -

Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis

Abstract

Keywords

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