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Updated: Mar 1, 2026

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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.
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.
Area of Science:
- Interventional Radiology
- Hepatology
- Vascular Surgery
Background:
- Gastric and esophageal variceal bleeding poses a significant threat to patient health.
- Transjugular intrahepatic portosystemic shunt (TIPS) creation is a common intervention for variceal hemorrhage.
- Alternative decompression methods are needed when TIPS is not possible.
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