A patient with portal hypertension and blindness after transjugular intrahepatic portosystemic shunt
| Autor: | Michael Schepke, Tilman Sauerbruch, A. Schmiedel, Beate Appenrodt, S. Kuntz-Hehner |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Liver Cirrhosis
medicine.medical_specialty Cirrhosis medicine.medical_treatment Contrast Media Blindness Esophageal and Gastric Varices Heart Septal Defects Atrial Paradoxical embolism Hypertension Portal medicine Humans Embolization Aged Hepatology business.industry Gastroenterology Iodized Oil Gastric varices Enbucrilate medicine.disease Surgery Shunt (medical) Intracranial Embolism Patent foramen ovale Portal hypertension Female Radiology Portasystemic Shunt Transjugular Intrahepatic business Gastrointestinal Hemorrhage Transjugular intrahepatic portosystemic shunt |
| Zdroj: | European journal of gastroenterologyhepatology. 18(4) |
| ISSN: | 0954-691X |
| Popis: | We report on a case of recurrent variceal bleeding from gastric varices, which was treated with transjugular intrahepatic portosystemic shunt (TIPS) and Histoacryl injection into the gastric varices. Furthermore, the patient had a small patent foramen ovale without a right-to-left shunt. After the intervention, the patient developed acute neurological disorders as a result of a cerebral paradoxical embolism. In the following, we describe the potential risk of histoacryl in paradoxical embolization when used for the injection of variceal collaterals during TIPS placement in patients with portal hypertension. The present case report shows a very rare but important complication after TIPS implantation. To avoid this complication it is recommended to perform echocardiography before all TIPS placements. |
| Databáze: | OpenAIRE |
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