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Treatment of Portosystemic Shunt Myelopathy with a Stent Graft Deployed through a Transjugular Intrahepatic Route
Authors:Deepak Jain  Ankur Arora  Pranjal Deka  Amar Mukund  Shorav Bhatnagar  Deepti Jindal  Niteen Kumar  Viniyendra Pamecha
Affiliation:1. Department of Radiology, Institute of Liver and Biliary Sciences, D-1 Vasant Kunj, New Delhi, 110070, India
2. Department of Hepatopancreatobiliary Surgery, Institute of Liver and Biliary Sciences, D-1 Vasant Kunj, New Delhi, 110070, India
Abstract:A case of surgically created splenorenal shunt complicated with shunt myelopathy was successfully managed by placement of a stent graft within the splenic vein to close the portosystemic shunt and alleviate myelopathy. To our knowledge, this is the first report of a case of shunt myelopathy in a patient with noncirrhotic portal fibrosis without cirrhosis treated by a novel technique wherein a transjugular intrahepatic route was adopted to deploy the stent graft.
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