Percutaneous creation of direct intrahepatic portosystemic shunts - an alternative for failed TIPS creation

Karim Mostafa; Jens Trentmann; Julian Andersson; Rainer Günther; Felix Braun; Philipp Jost Schäfer

doi:10.1186/s42155-022-00292-4

Percutaneous creation of direct intrahepatic portosystemic shunts - an alternative for failed TIPS creation

CVIR Endovasc. 2022 Mar 12;5(1):16. doi: 10.1186/s42155-022-00292-4.

Authors

Karim Mostafa¹, Jens Trentmann², Julian Andersson², Rainer Günther², Felix Braun², Philipp Jost Schäfer²

Affiliations

¹ Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Schleswig-Holstein, Germany. mostafa.karim86@gmail.com.
² Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Schleswig-Holstein, Germany.

Abstract

Introduction: Direct intrahepatic portosystemic shunt creation is a feasible and safe alternative for transjugular intrahepatic portosystemic shunt creation. It needs equipment like endovascular ultrasound with restricted availability. We performed the procedure percutaneously with a common interventional armamentarium to make it more feasible.

Methods: Retrospective analysis of 8 percutaneous DIPS insertions between 2016 and 2020.

Results: The procedure was successful in 8/8 patients. There was no short-term death reported within 30 days. The longest reported patency is 5 years.

Conclusion: Percutaneous DIPS creation is a feasible alternative for failed TIPS. Percutaneously the procedure can be completed faster than conventional DIPS using only minimal puncture equipment.

Level of evidence: Level 4, Case Series.

Keywords: Direct intrahepatic portosystemic shunt; Percutaneous DIPS; Portal vein decompression.