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Case Reports
. 2007 Dec;18(12):1571-5.
doi: 10.1016/j.jvir.2007.08.009.

Percutaneous transsplenic access in the management of bleeding varices from chronic portal vein thrombosis

David J Tuite  1 , Jay Rehman, Mervin H Davies, Jai V Patel, Anthony A Nicholson, David O Kessel
Affiliations
Case Reports

Percutaneous transsplenic access in the management of bleeding varices from chronic portal vein thrombosis

David J Tuite et al. J Vasc Interv Radiol. 2007 Dec.

Abstract

Three patients with life-threatening variceal hemorrhage secondary to portal vein (PV) thrombosis underwent endovascular treatment via the transsplenic route. The indications, techniques, and early outcomes are described. Each patient had successful portal/splenic vein recanalization with or without transjugular intrahepatic portosystemic shunt (TIPS) creation and variceal embolization with conventional catheter and wire techniques. The transsplenic approach is a useful addition to the interventional armamentarium that can be used in cases refractory to endoscopic management and unsuitable for surgical shunt procedures or conventional TIPS procedures. Longer-term follow-up will be needed to establish the durability of these procedures.

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