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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0045-1811970
Case Report

Successful Management of Endotipsitis: After Direct Intrahepatic Portocaval Shunt for Budd–Chiari Syndrome

Authors

  • Nischal G. Kundaragi

    1   Department of Interventional Radiology, Aster CMI Hospital, Bengaluru, Karnataka, India

  • Mallikarjun Sakpal

    2   Department of Transplant Hepatology, Aster CMI Hospital, Bengaluru, Karnataka, India

  • Bhavyashree Thittamaranahalli Nagendra

    1   Department of Interventional Radiology, Aster CMI Hospital, Bengaluru, Karnataka, India

  • Sonal Asthana

    3   Department of Hepatobiliary and Multi-Organ Transplantation Surgery, Aster CMI Hospital, Bengaluru, Karnataka, India
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Abstract

We report successful management of transjugular intrahepatic portosystemic shunt stent infection (endotipsitis) following direct intrahepatic portocaval shunt for chronic Budd–Chiari syndrome. PETCT confirmed FDG-avid vegetation/thrombus within the stent graft, which was removed with a large-bore sheath aspiration technique, and the residual thrombus was excluded by placing an additional stent graft. The thrombus was positive for E. coli, and appropriate antibiotics were given. Patient improved with no recurrent symptoms during a follow-up of 7 months.

Keywords

endotipsitis - DIPS - Budd–Chiari syndrome


Publikationsverlauf

Artikel online veröffentlicht:
29. September 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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