MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report
Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent tra...
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | The Arab Journal of Interventional Radiology |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728964 |
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| author | Abbas Chamsuddin Lama Nazzal Thomas Heffron Osama Gaber Raja Achou Louis G. Martin |
| author_facet | Abbas Chamsuddin Lama Nazzal Thomas Heffron Osama Gaber Raja Achou Louis G. Martin |
| author_sort | Abbas Chamsuddin |
| collection | DOAJ |
| description | Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT. |
| format | Article |
| id | doaj-art-dfebf2f75ce846cc888142f624cabaca |
| institution | DOAJ |
| issn | 2542-7075 2542-7083 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Arab Journal of Interventional Radiology |
| spelling | doaj-art-dfebf2f75ce846cc888142f624cabaca2025-08-20T02:51:02ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832017-01-010101202610.1055/s-0041-1728964MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief ReportAbbas Chamsuddin0Lama Nazzal1Thomas Heffron2Osama Gaber3Raja Achou4Louis G. Martin5Department of Radiology, Saint George Hospital University Medical Center, Beirut, Lebanon, Department of Nephrology, New York University Medical Center, New York, USA The Porter Center for Liver Care, Denver, Colorado, USADepartment of Surgery, Houston Methodist Medical Center, Weill Cornell Medical College, Houston, TX, USA Department of Radiology, Saint George Hospital University Medical Center, Beirut, Lebanon, Department of Radiology, Emory University Hospital, Atlanta, GA, USAIntroduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728964meso-transjugular intrahepatic portosystemic shuntportal hypertensionportal vein thrombosistransjugular intrahepatic portosystemic shunt |
| spellingShingle | Abbas Chamsuddin Lama Nazzal Thomas Heffron Osama Gaber Raja Achou Louis G. Martin MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report The Arab Journal of Interventional Radiology meso-transjugular intrahepatic portosystemic shunt portal hypertension portal vein thrombosis transjugular intrahepatic portosystemic shunt |
| title | MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report |
| title_full | MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report |
| title_fullStr | MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report |
| title_full_unstemmed | MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report |
| title_short | MesoTIPS: Combined Approach for the Treatment of Portal Hypertension Secondary to Portal Vein Thrombosis – A Brief Report |
| title_sort | mesotips combined approach for the treatment of portal hypertension secondary to portal vein thrombosis a brief report |
| topic | meso-transjugular intrahepatic portosystemic shunt portal hypertension portal vein thrombosis transjugular intrahepatic portosystemic shunt |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728964 |
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