[Liver transplantation after trans-jugular intrahepatic portosystemic stent shunt]

Every third patient with parenchymal liver disease bleeds from esophageal varices. Treatment of this complication is of special interest with regard to liver transplantation which may become necessary later on. The mesocaval H-shunt excluded, surgical shunting results in technical and hemodynamic problems during transplantation. They may be avoided by the new approach of transjugular intrahepatic portosystemic stent shunt (TIPSS). We report our experience with liver transplantation in two patients after TIPSS.