Transjugular Intrahepatic Portosystemic Shunt Flow Reduction with Adjustable Polytetrafluoroethylene-Covered Balloon-Expandable Stents Using the “Sheath Control” Technique

Abstract

TIPS reduction using Atrium iCast PTFE balloon-expandable stents using the "sheath control technique" is safe and effective, and minimizes the risk of stent migration.

Controlled underdilation using novel VIATORR® controlled expansion stents improves survival after transjugular intrahepatic portosystemic shunt implantation

“…This would suggest that the result of excess rates of HE development after TIPS was associated with the use of a smaller TIPS diameter (underdilated VCX), which is in line with previous reports and the clinical practice of reduction or occlusion of TIPS/SPSS in patients with refractory HE. [59] , [60] , [61] , [62] …”

A custom‐made percutaneous flow‐restrictor to manage a symptomatic congenital porto‐systemic shunt in an infant

“…Many custom-made flow restrictors have been reported in various situations [4,[6][7][8][9][10][11]. Most are bulky, complex, long, not easily adjustable, and require large or multiple sheaths for delivery.…”

Infrarenal aortic balloon-expandable stent graft deployment using the sheath control technique in a patient with hemorrhagic shock secondary to an aortoenteric fistula

“…In order to prevent distal migration of the undersized stentgraft during the balloon exchange, the sheath control techniquepreviously described for the attenuation of transjugular intrahepatic portosystemic shuntswas utilized. 3 After removal of the 16 mm balloon, the stent graft was partially deployed with approximately 1/3 rd remaining in J o u r n a l P r e -p r o o f the sheath (Figure 4a). The deployment balloon was removed and exchanged with a 14 mm balloon which was used to further expand the stent graft and secure cranial apposition to the aortic wall.…”

“…This report will describe a case of radiation induced AEF in the setting of acute hemorrhage, which was bridged to operative repair utilizing a balloon expandable stent graft and the sheath control technique, which has been previously described for attenuation of transjugular intrahepatic portosystemic shunts. 3 Consent was obtained from the patient for publication of the present case report and corresponding images.…”