Kim Stephanie H, Samuel Michael, Makramalla Abouelmagd
Division of Vascular and Interventional Radiology, Department of Radiology, University of Cincinnati, Cincinnati, Ohio.
Semin Intervent Radiol. 2023 Jul 20;40(3):269-273. doi: 10.1055/s-0043-1769772. eCollection 2023 Jun.
Transjugular intrahepatic portosystemic shunt (TIPS) is an important interventional option for the treatment of complications related to cirrhosis and portal hypertension. Emergent TIPS placement can be a life-saving measure in patients with uncontrolled variceal hemorrhage. After TIPS placement, patients may benefit from additional interventions for clinical optimization including stent dilation, stent extension, and embolization of varices. Here, we describe a case of emergent TIPS placement and revision which resulted in TIPS stent migration requiring stent removal and replacement. We discuss our technique and review previously reported methods for the management of migrated TIPS stents.
经颈静脉肝内门体分流术（TIPS）是治疗肝硬化和门静脉高压相关并发症的重要介入手段。对于静脉曲张出血无法控制的患者，紧急放置TIPS可能是一种挽救生命的措施。放置TIPS后，患者可能会从进一步的临床优化干预中获益，包括支架扩张、支架延长和静脉曲张栓塞。在此，我们描述了一例紧急TIPS放置及翻修病例，该病例导致TIPS支架移位，需要取出并更换支架。我们讨论了我们的技术，并回顾了先前报道的处理移位TIPS支架的方法。
