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Acute Liver Failure After a Late TIPSS Revision |
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| Authors: | Boris Radeleff Christof-Matthias Sommer Simone Schawo Ruben Lopez-Benitez Peter Sauer Peter Schemmer Guenter W. Kauffmann Goetz M. Richter |
| Affiliation: | (1) Department of Diagnostic Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany;(2) Departments of Internal Medicine IV, Gastroenterology, Hepatology, Infectious Diseases, Intoxications, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany;(3) Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany |
| Abstract: | We report a rare case of late transjugular intrahepatic portosystemic stent shunt (TIPSS) occlusion due to progressive stent protrusion into the periportal liver parenchyma, which was a result of delayed liver shrinkage 2 years after TIPSS. The initial TIPSS procedure had been carried out in a 52-year-old man as a bridge for liver transplantation because of post-alcoholic liver cirrhosis. We describe the applied TIPSS recanalization and revision technique. Immediately after TIPSS revision acute liver failure developed, which required emergency liver transplantation. |
| Keywords: | Liver failure Liver transplantation Portal hypertension Stent Transjugular intrahepatic portosystemic stent shunt TIPSS |
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