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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Bibliographic Details
Published in:	Arab Journal of Interventional Radiology Vol. 1; no. 1; pp. 20 - 26
Main Authors:	Chamsuddin, Abbas, Nazzal, Lama, Heffron, Thomas, Gaber, Osama, Achou, Raja, Martin, LouisG
Format:	Journal Article
Language:	English
Published:	Thieme Medical and Scientific Publishers Pvt. Ltd 2017
Subjects:	Meso-transjugular intrahepatic portosystemic shunt portal hypertension portal vein thrombosis transjugular intrahepatic portosystemic shunt
Online Access:	Get full text
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Summary:	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.
ISSN:	2542-7075 2542-7083
DOI:	10.4103/2542-7075.199571