CC BY-NC-ND 4.0 · J Clin Interv Radiol ISVIR
DOI: 10.1055/s-0039-3401307
Letter to the Editor
Indian Society of Vascular and Interventional Radiology

Successful Management of an Unusual Complication after Transjugular Intrahepatic Portosystemic Shunt Procedure

Nischal. G. Kundaragi
1  Department of Interventional Radiology, Aster CMI Hospital, Bengaluru, Karnataka, India
,
Naresh Bhat
2  Department of Gastroenterology and Liver Disease, Aster CMI Hospital, Bengaluru, Karnataka, India
,
Sudhir Kale
3  Department of Radiology, Aster CMI Hospital, Bengaluru, Karnataka, India
› Author Affiliations
Further Information

Publication History

received 24 June 2019

accepted after revision 05 September 2019

Publication Date:
04 February 2020 (online)

  

Introduction

Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established treatment procedure in the management of sequelae of portal hypertension. Major complication rate of TIPS procedure is less than 5% and can have lethal consequences, if not recognized and treated early.[1] Arterial compression and subsequent segmental hepatic ischemia/infarction after TIPS procedure can be treated with antibiotic coverage and supportive care.[2] We present an unusual early complication after a successful TIPS procedure. The patient presented with capsular/subcapsular active bleeding from infarcted liver associated with significant compression of the posterior branch of the right hepatic artery by the TIPS stent. This unique complication was recognized immediately and treated successfully by embolization and supportive care.