Repeat Stent Placement through Lateral Fenestration of the Existing Dysfunctioning DIPS Stent Graft: An Alternative to Parallel TIPS/DIPS Procedure in a Case of Blocked Primary TIPS/DIPS
| Autor: | Ravindran Ramalingam, Karan Manoj Anandpara, Amar Mukund, Rakhi Maiwall |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty medicine.medical_treatment lcsh:R895-920 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine tips revision Angioplasty medicine Radiology Nuclear Medicine and imaging blocked tips business.industry technology industry and agriculture direct intrahepatic portosystemic shunt (dips) Stent portal hypertension Thrombolysis Surgery Shunt (medical) transjugular intrahepatic portosystemic shunt (tips) body regions Stent placement surgical procedures operative 030211 gastroenterology & hepatology business Fenestration |
| Zdroj: | Journal of Clinical Interventional Radiology ISVIR, Vol 4, Iss 02, Pp 118-121 (2020) |
| ISSN: | 2456-4869 |
| DOI: | 10.1055/s-0040-1710153 |
| Popis: | A complication of transjugular and direct intrahepatic portosystemic stent (TIPS and DIPS) graft is stent blockage. Routinely described procedures for shunt revision include angioplasty, deployment of endoprosthesis, catheter-directed thrombolysis, or rarely performing a second parallel TIPS/DIPS. We describe a case of hepatic vein outflow tract obstruction who presented with DIPS blockage. We performed a revision where a new stent was placed by a lateral puncture through the fenestration of the existing dysfunctioning DIPS stent graft. In our opinion, this alternate technique has theoretical advantages over the conventionally described parallel TIPS/DIPS as it prevents the creation of a completely new long hepatic parenchymal tract. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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