Custom-made covered transjugular intrahepatic portosystemic shunt (TIPS) in an infant with trisomy 22 and biliary atresia.

Abstract:

:We report an 8-month-old girl with portal hypertension secondary to biliary atresia. The decision to treat with TIPS was made at the age of 8 months due to recurrent variceal bleeding. The procedure was carried out with a 6-mm bare stent due to her small size. Radiological follow-up with Doppler US showed gradual stenosis and finally occlusion of the stent 80 days after implantation. Revision was performed with placement of an additional 6-mm expanded polytetrafluoroethylene (e-PTFE) stent-graft that had remained patent for 9 months, proving that in small children with a portal vein diameter less than 8 mm, the combination of a bare stent and stent-graft can provide excellent results.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Chlapoutaki CE,Franchi-Abella S,Habes D,Pariente D

doi

10.1007/s00247-009-1211-z

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

739-42

issue

7

eissn

0301-0449

issn

1432-1998

journal_volume

39

pub_type

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