A patient with portal hypertension and blindness after transjugular intrahepatic portosystemic shunt.

Abstract:

: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.

authors

Appenrodt B,Schepke M,Kuntz-Hehner S,Schmiedel A,Sauerbruch T

doi

10.1097/00042737-200604000-00022

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

447-9

issue

4

eissn

0954-691X

issn

1473-5687

pii

00042737-200604000-00022

journal_volume

18

pub_type

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