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Successful transfemoral creation of an intrahepatic portosystemic shunt with use of the Viatorr device

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Successful transfemoral creation of an intrahepatic portosystemic shunt with use of the Viatorr device JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY Sze, D. Y., Magsamen, K. E., Frisoli, J. K. 2006; 17 (3): 569-572

Abstract

Although the large majority of cases are anatomically favorable and therefore technically feasible, congenital or acquired conditions may complicate or even preclude successful creation of a transjugular intrahepatic portosystemic shunt (TIPS). The present report describes the use of the inferior right hepatic vein from a femoral vein access to obtain portal access and place a covered stent, reconstruct a partially occluded portal vein, and embolize large gastric varices in a patient with a persistent left superior vena cava (SVC) and absent right SVC.

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