Document Detail

Detachable balloon-modified reducing stent to treat hepatic insufficiency after transjugular intrahepatic portosystemic shunt creation.
MedLine Citation:
PMID:  12761318     Owner:  NLM     Status:  MEDLINE    
A patient developed severe hepatic insufficiency after creation of a transjugular intrahepatic portosystemic shunt, which was treated unsuccessfully with a constrained Wallstent ("reducing stent"). After a failed attempt at occluding the shunt with an occlusion balloon, a detachable balloon was placed at the portal end of the constrained stent. This balloon-modified reducing stent reduced flow while maintaining shunt patency, and the patient's hepatic insufficiency improved. She went on to undergo successful liver transplantation several months later.
Lauren Kaufman; Maxim Itkin; Emma E Furth; Charmaine Stewart; Scott O Trerotola
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  14     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-22     Completed Date:  2003-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  635-8     Citation Subset:  IM    
Department of Radiology, University of Pennsylvania Medical Center, 1 Silverstein, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA.
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MeSH Terms
Blood Flow Velocity
Liver Circulation
Liver Failure / etiology,  physiopathology,  therapy*
Portal Vein*
Portasystemic Shunt, Transjugular Intrahepatic / adverse effects*

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