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Published on: May 7, 2015
Percutaneous creation of direct intrahepatic portosystemic shunts - an alternative for failed TIPS creation
Karim Mostafa1, Jens Trentmann2, Julian Andersson2
1Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Schleswig-Holstein, Germany. mostafa.karim86@gmail.com.
Introduction:
Direct intrahepatic portosystemic shunt creation is a feasible and safe alternative for transjugular intrahepatic portosystemic shunt creation. It needs equipment like endovascular ultrasound with restricted availability. We performed the procedure percutaneously with a common interventional armamentarium to make it more feasible.
Methods:
Retrospective analysis of 8 percutaneous DIPS insertions between 2016 and 2020.
Results:
The procedure was successful in 8/8 patients. There was no short-term death reported within 30 days. The longest reported patency is 5 years.
Conclusion:
Percutaneous DIPS creation is a feasible alternative for failed TIPS. Percutaneously the procedure can be completed faster than conventional DIPS using only minimal puncture equipment.
Level Of Evidence:
Level 4, Case Series.
