Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus

Portal vein recanalization-transjugular intrahepatic portosystemic shunt (PVR-TIPS) has become an accepted minimally invasive therapeutic option for alleviating symptoms of portal hypertension refractory to medical and endoscopic therapy in patients with chronic portal vein thrombosis. The transsple...

Full description

Saved in:
Bibliographic Details
Main Authors: Rajesh Sasidharan, Shubham Suryavanshi, Akhil Baby, Shobhit Singh, Nitesh Agarwal
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd.
Series:Journal of Clinical Interventional Radiology ISVIR
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1806941
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849407346267127808
author Rajesh Sasidharan
Shubham Suryavanshi
Akhil Baby
Shobhit Singh
Nitesh Agarwal
author_facet Rajesh Sasidharan
Shubham Suryavanshi
Akhil Baby
Shobhit Singh
Nitesh Agarwal
author_sort Rajesh Sasidharan
collection DOAJ
description Portal vein recanalization-transjugular intrahepatic portosystemic shunt (PVR-TIPS) has become an accepted minimally invasive therapeutic option for alleviating symptoms of portal hypertension refractory to medical and endoscopic therapy in patients with chronic portal vein thrombosis. The transsplenic approach for PVR-TIPS has shown excellent results with acceptable complication rates. Traditionally, endovascular snares are used as fluoroscopic target for accessing the recanalized portal vein from the hepatic vein. Here, we report our experience with contrast-filled balloon catheter as a fluoroscopic target for the same in a noncirrhotic patient with extrahepatic portal venous obstruction and recurrent variceal bleeding.
format Article
id doaj-art-44164d58ede149e596a3f4178340072b
institution Kabale University
issn 2456-4869
language English
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Journal of Clinical Interventional Radiology ISVIR
spelling doaj-art-44164d58ede149e596a3f4178340072b2025-08-20T03:36:06ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-486910.1055/s-0045-1806941Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein ThrombusRajesh Sasidharan0https://orcid.org/0000-0002-3293-1817Shubham Suryavanshi1Akhil Baby2Shobhit Singh3Nitesh Agarwal4Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, IndiaDivision of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, IndiaDivision of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, Kochi, Kerala, IndiaDivision of Hepatobiliary Interventional Radiology, BLK-Max Super Specialty Hospital, New Delhi, IndiaDivision of Hepatobiliary Interventional Radiology, BLK-Max Super Specialty Hospital, New Delhi, IndiaPortal vein recanalization-transjugular intrahepatic portosystemic shunt (PVR-TIPS) has become an accepted minimally invasive therapeutic option for alleviating symptoms of portal hypertension refractory to medical and endoscopic therapy in patients with chronic portal vein thrombosis. The transsplenic approach for PVR-TIPS has shown excellent results with acceptable complication rates. Traditionally, endovascular snares are used as fluoroscopic target for accessing the recanalized portal vein from the hepatic vein. Here, we report our experience with contrast-filled balloon catheter as a fluoroscopic target for the same in a noncirrhotic patient with extrahepatic portal venous obstruction and recurrent variceal bleeding.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1806941Leidencavernomafluoroscopic
spellingShingle Rajesh Sasidharan
Shubham Suryavanshi
Akhil Baby
Shobhit Singh
Nitesh Agarwal
Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
Journal of Clinical Interventional Radiology ISVIR
Leiden
cavernoma
fluoroscopic
title Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
title_full Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
title_fullStr Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
title_full_unstemmed Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
title_short Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement for Chronic Noncirrhotic Obliterative Portal Vein Thrombus
title_sort percutaneous transsplenic balloon assisted transjugular intrahepatic portosystemic shunt placement for chronic noncirrhotic obliterative portal vein thrombus
topic Leiden
cavernoma
fluoroscopic
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1806941
work_keys_str_mv AT rajeshsasidharan percutaneoustranssplenicballoonassistedtransjugularintrahepaticportosystemicshuntplacementforchronicnoncirrhoticobliterativeportalveinthrombus
AT shubhamsuryavanshi percutaneoustranssplenicballoonassistedtransjugularintrahepaticportosystemicshuntplacementforchronicnoncirrhoticobliterativeportalveinthrombus
AT akhilbaby percutaneoustranssplenicballoonassistedtransjugularintrahepaticportosystemicshuntplacementforchronicnoncirrhoticobliterativeportalveinthrombus
AT shobhitsingh percutaneoustranssplenicballoonassistedtransjugularintrahepaticportosystemicshuntplacementforchronicnoncirrhoticobliterativeportalveinthrombus
AT niteshagarwal percutaneoustranssplenicballoonassistedtransjugularintrahepaticportosystemicshuntplacementforchronicnoncirrhoticobliterativeportalveinthrombus