Re-establishing the patency of the hepatic vein and the portosystemic shunt 10 years after the TIPS procedure: a clinical case

Tsitsiashvili MSh1, Shipovskiy VN1,2, Monakhov DV1,2, Chelyapin AS1,2, Huseynov AB1
About authors

1 Pirogov Russian National Research Medical University, Moscow, Russia

2 Pletnev City Clinical Hospital, Moscow, Russia

Correspondence should be addressed: Alexander Chelyapin
Ostrovityanova, 1, Moscow, 117997; ur.xednay@skelAnipaylehC

About paper

Author contribution: Chelyapin AS, Huseynov AB — study conception and design, data acquisition and processing; Chelyapin AS — statistical analysis; Tsitsiashvili MSh, Shipovskiy VN, Monakhov DV, Chelyapin AS, Huseynov AB — manuscript draft; Tsitsiashvili MSh — manuscript revision.

Received: 2019-10-24 Accepted: 2019-11-08 Published online: 2019-11-16

Transjugular intrahepatic portosystemic shunt is one of the few available options for treating complications of portal hypertension in patients with chronic diffuse liver diseases. Over time, shunt patency can become compromised, causing a recurrence of such complications. The clinical case presented below demonstrates the potential of TIPS and illustrates the use of an endovascular reintervention for re-establishing shunt patency, which improves the life expectancy of patients, as well as their quality of life.

Keywords: liver cirrhosis, portal hypertension, transjugular intrahepatic portosystemic shunt, dysfunction, reintervention