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  • Title: Transjugular intrahepatic portacaval stent shunt: preliminary clinical results.
    Author: Richter GM, Noeldge G, Palmaz JC, Roessle M, Slegerstetter V, Franke M, Gerok W, Wenz W, Farthman E.
    Journal: Radiology; 1990 Mar; 174(3 Pt 2):1027-30. PubMed ID: 2305084.
    Abstract:
    A percutaneous transjugular, intrahepatic portacaval shunt was created by means of a combined jugular and transhepatic approach. In the hepatic tissue track joining the portal and hepatic veins balloon-expandable stents were placed. Two of three patients with life-threatening variceal bleeding and Child C liver cirrhosis benefited from the procedure. One patient in severe hepatorenal failure prior to the procedure died 11 days after the shunt procedure of pulmonary complications. This procedure may be a promising alternative to current therapy in high-risk patients with esophageal bleeding.
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