Percutaneous creation of direct intrahepatic portosystemic shunts - an alternative for failed TIPS creation

Introduction

Direct intrahepatic portosystemic shunt creation is a feasible and safe alternative for transjugular intrahepatic portosystemic shunt creation. It needs equipment like endovascular ultrasound with restricted availability. We performed the procedure percutaneously with a common interventional armamentarium to make it more feasible.

Methods

Retrospective analysis of 8 percutaneous DIPS insertions between 2016 and 2020.

Results

The procedure was successful in 8/8 patients. There was no short-term death reported within 30 days. The longest reported patency is 5 years.

Conclusion

Percutaneous DIPS creation is a feasible alternative for failed TIPS. Percutaneously the procedure can be completed faster than conventional DIPS using only minimal puncture equipment.

Level of evidence

Level 4, Case Series.

Rights

Use and reproduction:


CC BY 4.0

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