Transjugular intrahepatic portosystemic shunt placement in liver transplant recipients: experiences with pediatric and adult patients.

Abstract

OBJECTIVE:

The purpose of our study was to evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunts (TIPS) in pediatric and adult liver transplant recipients. A retrospective review of six TIPS placed in six liver transplant recipients-a pediatric patient with a split liver transplant, a pediatric patient with left lateral segment transplant, and four adult patients-was performed.

CONCLUSION:

TIPS placement in both pediatric and adult liver transplant recipients is feasible. In liver transplant patients who are recipients of a left lateral segment or a split liver transplant, knowledge of the liver transplant anatomy is critical in the placement of TIPS. TIPS placement is a treatment option and a bridge to retransplantation for patients who have undergone liver transplantation and develop sequelae of portal hypertension.

• Authors: Thuong G Van Ha, Brian S Funaki, Jonathan Ehrhardt, Jonathan Lorenz, David Cronin, J Michael Millis, Jeffrey Leef
• Journal: AJR. American journal of roentgenology (AJR Am J Roentgenol) Vol. 184 Issue 3 Pg. 920-5 (Mar 2005) ISSN: 0361-803X [Print] United States
• PMID: 15728618 (Publication Type: Journal Article)

Topics

• Adolescent
• Age Factors
• Aged
• Child, Preschool
• Female
• Humans
• Liver Transplantation (diagnostic imaging)
• Male
• Middle Aged
• Portasystemic Shunt, Transjugular Intrahepatic
• Radiography
• Retrospective Studies