2019 / 06

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DOI: 10.24075/brsmu.2019.074

CLINICAL CASE

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: 2019-11-17
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Fig. 1. Patient K. with class B liver cirrhosis, after TIPS. Stenosis of the proximal TIPS segment. Intrashunt velocity of 37 cm/s
Fig. 2. A CT-angiography image showing intimal hyperplasia of the right hepatic vein
Fig. 3. Transjugular portal venogram of patient K
Fig. 4. Transjugular portal venogram of patient K. Stages of stent-in-stent placement. A. Stent implantation. B. Stent expansion
Fig. 5. Transjugular portal venogram of patient K. after TIPS revision and stentin- stent placement