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  • Title: Percutaneous Mesocaval Shunt Creation in a Patient with Chronic Portal and Superior Mesenteric Vein Thrombosis.
    Author: Bercu ZL, Sheth SB, Noor A, Lookstein RA, Fischman AM, Nowakowski FS, Kim E, Patel RS.
    Journal: Cardiovasc Intervent Radiol; 2015 Oct; 38(5):1316-9. PubMed ID: 25189666.
    Abstract:
    The creation of a transjugular intrahepatic portosystemic shunt (TIPS) is a critical procedure for the treatment of recurrent variceal bleeding and refractory ascites in the setting of portal hypertension. Chronic portal vein thrombosis remains a relative contraindication to conventional TIPS and options are limited in this scenario. Presented is a novel technique for management of refractory ascites in a patient with hepatitis C cirrhosis and chronic portal and superior mesenteric vein thrombosis secondary to schistosomiasis and lupus anticoagulant utilizing fluoroscopically guided percutaneous mesocaval shunt creation.
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