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Laser Recanalization of a Chronically Occluded Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Alaa Mahmoud1, David M Tabriz2, Beau B Toskich2
1Department of Interventional Radiology, University of Florida, 1600 SW Archer Rd., Gainesville, FL, 32610, USA. MAHMOA@radiology.ufl.edu.
Cardiovascular and Interventional Radiology
|April 8, 2017
Abstract:
Transjugular intrahepatic portosystemic shunt (TIPS) dysfunction is conventionally managed with balloon angioplasty, stent extension, and sharp recanalization when necessary. We describe percutaneous transjugular recanalization and neointimal excision of a chronically occluded 17-year-old TIPS using excimer laser after conventional techniques were unsuccessful. Patient clinical improvement and shunt patency were documented three weeks post-intervention.
