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  • Title: Budd-Chiari syndrome: intractable ascites managed by a trans-hepatic portacaval shunt.
    Author: Nicoll A, Fitt G, Angus P, Sewell R, Hennessy O.
    Journal: Australas Radiol; 1997 May; 41(2):169-72. PubMed ID: 9153816.
    Abstract:
    Transjugular intrahepatic portosystemic shunts (TIPS) have recently been used to manage the portal hypertensive complications of the Budd-Chiari syndrome. We report this application of TIPS (to our knowledge the first such application in Australia) in a young man with an excellent result and no major complications. This treatment offers an alternative to portacaval shunt surgery and has the advantage of bypassing a stenosed or compressed inferior vena cava. Additionally, the procedure does not complicate liver transplantation surgery if this is indicated at a later date.
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