Transjugular intrahepatic portosystemic shunt: a case report

Of the various methods currently available to manage potentially life threatening bleeding from oesophagogastric varices, surgical portosystemic shunts are recognised to have the lowest incidence of rebleeding though surgery is associated with high morbidity and mortality. Recently, a promising non-surgical technique has been developed to create an intrahepatic portosystemic shunt via a percutaneous transjugular route. This paper presents a case report of this region's first transjugular intrahepatic portosystemic shunt procedure and briefly reviews the development and preliminary results of this technique.