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

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.

Publikationsverlauf

Artikel online veröffentlicht:
04. Februar 2020

• References

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