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  • Title: Transjugular intrahepatic portosystemic shunt after previous recanalization of a chronically thrombosed portal vein via a transmesenteric approach.
    Author: Matsui O, Yoshikawa J, Kadoya M, Gabata T, Takashima T, Urabe T, Unoura M, Kobayashi K.
    Journal: Cardiovasc Intervent Radiol; 1996; 19(5):352-5. PubMed ID: 8781159.
    Abstract:
    We report a cirrhotic patient with complete occlusion of the portal vein with marked cavernous transformation due to chronic thrombosis in whom a transjugular intrahepatic portosystemic shunt (TIPS) was successfully created after direct minilaparotomy mesenteric vein catheterization, lysis and aspiration of the thrombus, and stenting in the portal vein. The methods used, we believe, provide a new technique for performing TIPS in chronically thrombosed portal veins in which previously no effective surgical therapeutic options were available.
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