Treatment of refractory post-transjugular portosystemic stent-shunt encephalopathy: a novel case of stent luminal reduction.

Abstract:

:Encephalopathy is a significant complication of transjugular intrahepatic portosystemic stent-shunt (TIPSS). The majority respond to medical treatment but a proportion prove recalcitrant to conservative measures and eventually require some modulation of shunt blood flow in order to ameliorate their symptoms. This is particularly relevant in patients for whom TIPSS has been performed as a rescue procedure and are not suitable for liver transplantation (OLT). We describe a novel approach to the reduction of the diameter of the stent-shunt in TIPSS in an encephalopathic patient. This involved the creation of a waist around a standard covered stent and its subsequent introduction into a pre-existing TIPSS. This proved to be a successful procedure resulting in the alleviation of the patient's encephalopathy.

authors

Clarke G,Patel R,Tsao S,Blanshard K

doi

10.1097/00042737-200412000-00025

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

1387-90

issue

12

eissn

0954-691X

issn

1473-5687

pii

00042737-200412000-00025

journal_volume

16

pub_type

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