Transjugular intrahepatic portosystemic shunt placement in the setting of polycystic liver disease: questioning the contraindication

E S Shin; M D Darcy

doi:10.1016/s1051-0443(07)61598-x

Transjugular intrahepatic portosystemic shunt placement in the setting of polycystic liver disease: questioning the contraindication

J Vasc Interv Radiol. 2001 Sep;12(9):1099-102. doi: 10.1016/s1051-0443(07)61598-x.

Authors

E S Shin¹, M D Darcy

Affiliation

¹ Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Boulevard, St. Louis, Missouri 63110, USA.

PMID: 11535774
DOI: 10.1016/s1051-0443(07)61598-x

Abstract

Although polycystic liver disease has long been listed as a contraindication to transjugular intrahepatic portosystemic shunt (TIPS) creation, two cases of TIPS placement in that particular clinical setting have been reported. Another case is reported in this article and the clinical course over 21 months of follow-up is examined. The discussion reviews the mechanics of TIPS creation in a polycystic liver and the vague premise of the polycystic liver as a contraindication to TIPS.

Publication types

Case Reports

MeSH terms

Adult
Ascites / etiology
Contraindications
Cysts / surgery
Humans
Liver Diseases / complications
Liver Diseases / diagnosis
Liver Diseases / surgery*
Male
Polycystic Kidney Diseases / complications
Portal Vein / diagnostic imaging
Portasystemic Shunt, Transjugular Intrahepatic* / methods
Radiography