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Reversal of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-Induced Hepatic Encephalopathy Using a Strictured Self-Expanding Covered Stent
Authors:Mitchell W.?Cox,George D.?Soltes,Peter H.?Lin  author-information"  >  author-information__contact u-icon-before"  >  mailto:plin@bcm.tmc.edu"   title="  plin@bcm.tmc.edu"   itemprop="  email"   data-track="  click"   data-track-action="  Email author"   data-track-label="  "  >Email author,Ruth L.?Bush,Alan B.?Lumsden
Affiliation:(1) Division of Vascular Surgery & Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA;(2) Division of Interventional Radiology, Department of Radiology, Baylor College of Medicine, Houston, Texas, USA
Abstract:Hepatic encephalopathy is a known complication following percutaneous transjugular intrahepatic portosystemic shunt (TIPS) placement. We describe herein a simple and effective strategy of TIPS revision by creating an intraluminal stricture within a self-expanding covered stent, which is deployed in the portosystemic shunt to reduce the TIPS blood flow. This technique was successful in reversing a TIPS-induced hepatic encephalopathy in our patient. An erratum to this article can be found at .
Keywords:TIPS  Stent-grafts  Endovascular  Hepatic encephalopathy
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