Intravascular US Guidance for Direct Intrahepatic Portosystemic Shunt Creation in the Setting of Polycystic Liver Disease

Hedge, J. Cody; Foulke, Evan; Farsad, Khashayar

doi:10.1016/j.jvir.2017.11.025

Cited by 4 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast, some authors have questioned this contra‐indication . The use of TIPS for PLD is limited to a few case reports, and has been described as successful . However, complications such as intracystic haemorrhage, spontaneous bacterial peritonitis and encephalopathy have also been reported .…”

Section: Management Of Portal Hypertension In Pldmentioning

confidence: 99%

“…However, complications such as intracystic haemorrhage, spontaneous bacterial peritonitis and encephalopathy have also been reported . The use of a hybrid 2D/3D imaging instruments or intravascular US guidance can be used to increase safety of TIPS placement in the setting of PLD . Thus, TIPS placement in context of PLD should be approached with caution.…”

Section: Management Of Portal Hypertension In Pldmentioning

confidence: 99%

“…76 The use of TIPS for PLD is limited to a few case reports, and has been described as successful. 76,[78][79][80][81][82] However, complications such as intracystic haemorrhage, spontaneous bacterial peritonitis and encephalopathy have also been reported. 82 The use of a hybrid 2D/3D imaging instruments or intravascular US guidance can be used to increase safety of TIPS placement in the setting of PLD.…”

Section: Restoration Of Flowmentioning

confidence: 99%

“…82 The use of a hybrid 2D/3D imaging instruments or intravascular US guidance can be used to increase safety of TIPS placement in the setting of PLD. 78,80,82 Thus, TIPS placement in context of PLD should be approached with caution. There are risks and technical challenges, and evidence of feasibility is based on a limited number of case reports.…”

Section: Restoration Of Flowmentioning

confidence: 99%

See 3 more Smart Citations

Management of portal hypertension and ascites in polycystic liver disease

Bernts

Drenth

Tjwa

2019

Liver International

View full text Add to dashboard Cite

Patients suffering from polycystic liver disease may develop Hepatic Venous Outflow Obstruction, Portal Vein Obstruction and/or Inferior Caval Vein Syndrome because of cystic mass effect. This can cause portal hypertension, leading to ascites, variceal haemorrhage or splenomegaly. For this review, we evaluate the evidence to provide clinical guidance for physicians faced with this complication. Diagnosis is made with imaging such as ultrasound, computed tomography or magnetic resonance imaging. Therapy includes conventional therapy with diuretics and paracentesis, and medical therapy using somatostatin analogues. Based on disease phenotype various (non‐)surgical liver‐volume reducing therapies, hepatic or portal venous stenting, transjugular intrahepatic portosystemic shunts and liver transplantation may be considered. Because of complicated anatomy, use of high‐risk interventions and lack of empirical evidence, patients should be treated in expert centres.

show abstract

Section: Management Of Portal Hypertension In Pldmentioning

confidence: 99%

Section: Management Of Portal Hypertension In Pldmentioning

confidence: 99%

Section: Restoration Of Flowmentioning

confidence: 99%

Section: Restoration Of Flowmentioning

confidence: 99%

See 2 more Smart Citations

Management of portal hypertension and ascites in polycystic liver disease

Bernts

Drenth

Tjwa

2019

Liver International

View full text Add to dashboard Cite

show abstract

“…7,8 The added real-time visualization of intracardiac echocardiography (ICE) also allows for novel approaches to cases that were once relative contraindications for TIPS. For example, Hedge et al 9 described successfully positioning a TIPS shunt between hepatic cysts in a patient with polycystic liver disease (PCLD). Moreover, anatomical variations that once complicated TIPS procedures can be routinely accomplished with ICE guidance.…”

mentioning

confidence: 99%