Percutaneous retroperitoneal splenorenal shunt creation after failed PVR-TIPS attempt

Omari Christie1, Bryan Nicholas Swilley2

  • 1Department of Radiology, Division of Interventional Radiology, Emory University, 1364 Clifton Road Suite AG-05, Atlanta, GA, 30322, USA.

CVIR Endovascular
|February 28, 2026
PubMed
Summary

Percutaneous retroperitoneal splenorenal shunt (PRESS) creation offers an alternative treatment for gastric and esophageal variceal bleeding when transjugular intrahepatic portosystemic shunt (TIPS) is not feasible. This procedure effectively decompresses the portal venous system, reducing hemorrhage risk.