Transjugular intrahepatic portosystemic shunt-related complications and practical solutions

Seminars in Interventional Radiology

Volumn 23, Issue 2, 2006, Pages 165-176

  Ripamonti, Renato ^a   Ferral, Hector ^a   Alonzo, Marc ^a   Patel, Nilesh H ^a  

^a RUSH UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Complications transjugular portosystemic shunts; Hypertension portal; Metallic stents complications; Portal vein perforation

Indexed keywords

CARBON DIOXIDE; DIURETIC AGENT; IODINATED CONTRAST MEDIUM; LACTULOSE;

ARTERY INJURY; BALLOON OCCLUSION; BILE DUCT INJURY; BILOMA; BLEEDING; BRAIN DISEASE; CAROTID ARTERY INJURY; HEART ATRIUM PERFORATION; HEART INJURY; HEART RIGHT VENTRICLE FAILURE; HEMOBILIA; HEMODYNAMIC MONITORING; HEPATIC ARTERY; HEPATOBILIARY DISEASE; HIGH RISK PATIENT; HUMAN; HYPERBARIC OXYGEN; INFERIOR CAVA VEIN; LACERATION; LIVER ANGIOGRAPHY; LIVER DISEASE; LIVER FAILURE; LIVER INJURY; OXYGEN THERAPY; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; PORTAL PHLEBOGRAPHY; PORTAL VEIN PERFORATION; PORTOSYSTEMIC ANASTOMOSIS; PROSTHESIS FAILURE; PROTEIN RESTRICTION; PULMONARY HYPERTENSION; RADIATION INJURY; REVIEW; RISK ASSESSMENT; SEDATION; STENT; STENT MIGRATION; TREATMENT CONTRAINDICATION; TREATMENT INDICATION; VASCULAR ACCESS; VEIN INJURY; VEIN PERFORATION;

EID: 33744501823     PISSN: 07399529     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-2006-941447     Document Type: Review

References (71)

1. Haskal ZJ, Rees CR, Ring EJ, Saxon R, Sacks D. Reporting Standards for transjugular intrahepatic portosystemic shunts. Technology Assessment Committee of the SCVIR. J Vasc Interv Radiol 1997;8:289-297
2. Freedman AM, Sanyal AJ, Tisnado J, et al. Complications of transjugular intrahepatic portosystemic shunt: a comprehensive review. Radiographics 1993;13:1185-1210
3. Coldwell DM, Ring EJ, Rees CR, et al. Multicenter investigation of the role of transjugular intrahepatic portosystemic shunt in management of portal hypertension. Radiology 1995;196:335-340
4. Encarnacion CE, Palmaz JC, Rivera FJ, et al. Transjugular intrahepatic portosystemic shunt placement for variceal bleeding: predictors of mortality. J Vasc Interv Radiol 1995;6:687-694
5. Tyburski JG, Noorily MJ, Wilson RF. Prognostic factors with the use of the transjugular intrahepatic portosystemic shunt for bleeding varices. Arch Surg 1997;132:626-630; discussion 630-622
6. Patch D, Nikolopoulou V, McCormick A, et al. Factors related to early mortality after transjugular intrahepatic portosystemic shunt for failed endoscopic therapy in acute variceal bleeding. J Hepatol 1998;28:454-460
7. Rajan DK, Haskal ZJ, Clark TWI. Serum bilirubin and early mortality after transjugular intrahepatic portosystemic shunts: results of a multivariate analysis. J Vasc Interv Radiol 2002;13:155-161
8. Helton WS, Belshaw A, Althaus S, Park S, Coldwell D, Johansen K. Critical appraisal of the angiographic portacaval shunt (TIPS). Am J Surg 1993;165:566-571
9. Banares R, Casado M, Rodriguez-Laiz JM, et al. Urgent transjugular intrahepatic portosystemic shunt for control of acute variceal bleeding. Am J Gastroenterol 1998;93:75-79
10. Rubin RA, Haskal ZJ, O'Brien C, Cope C, Brass C. Transjugular intrahepatic portosystemic shunting: decreased survival for patients with high APACHE II scores. Am J Gastroenterol 1995;90:556-563
11. Chalasani N, Clark WS, Martin LG, et al. Determinants of mortality in patients with advanced cirrhosis after transjugular intrahepatic portosystemic shunting. Gastroenterology 2000;118:138-144
12. Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC. A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. Hepatology 2000;31:864-871
13. Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease [see comments]. Hepatology 2001;33:464-470
14. Angermayr B, Cejna M, Karnel F, et al. Child-Pugh versus MELD score in predicting survival in patients undergoing transjugular intrahepatic portosystemic shunt. Gut 2003;52:879-885
15. Salerno F, Merli M, Cazzaniga M, et al. MELD score is better than Child-Pugh score in predicting 3-month survival of patients undergoing transjugular intrahepatic portosystemic shunt. J Hepatol 2002;36:494-500
16. Ferral H, Gamboa P, Postoak DW, et al. Survival after elective transjugular intrahepatic portosystemic shunt creation: prediction with model for end-stage liver disease score. Radiology 2004;231:231-236
17. Fitt G, Thomson K, Hennessy O. Delayed fatal cardiac perforation by an indwelling long introducer sheath following transjugular intrahepatic portocaval stents (TIPS). Cardiovasc Intervent Radiol 1993;16:109-110
18. Richter GM, Noeldge G, Palmaz JC, et al. Transjugular intrahepatic portacaval stent shunt: preliminary clinical results. Radiology 1990;174:1027-1030
19. Uflacker R, Reichert P, D'Albuquerque LC, de Oliveira e Silva A. Liver anatomy applied to the placement of transjugular intrahepatic portosystemic shunts. Radiology 1994;191:705-712
20. Saxon RR, Keller FS. Technical aspects of accessing the portal vein during the TIPS procedure. J Vasc Interv Radiol 1997;8:733-744
21. Rose SC, Behling C, Roberts AC, et al. Main portal vein access in transjugular intrahepatic portosystemic shunt procedures: use of three-dimensional ultrasound to ensure safety. J Vasc Interv Radiol 2002;13:267-273
22. Richter GM, Noeldge G, Palmaz JC, Roessle M. The transjugular intrahepatic portosystemic stent-shunt (TIPSS): results of a pilot study. Cardiovasc Intervent Radiol 1990;13:200-207
23. Semba CP, Saperstein L, Nyman U, Dake MD. Hepatic laceration from wedged venography performed before transjugular intrahepatic portosystemic shunt placement. J Vasc Interv Radiol 1996;7:143-146
24. Petersen B. Intravascular ultrasound-guided direct intrahepatic portacaval shunt: description of technique and technical refinements. J Vasc Interv Radiol 2003;14:21-32
25. Haskal ZJ, Martin L, Cardella JF, et al. Quality improvement guidelines for transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol 2001;12:131-136
26. Kim JK, Yun W, Kim JW, Joo YU, Park JG. Extrahepatic portal vein tear with intraperitoneal hemorrhage during TIPS. Cardiovasc Intervent Radiol 2001;24:436-437
27. Davis AG, Haskal ZJ. Extrahepatic portal vein puncture and intra-abdominal hemorrhage during transjugular intrahepatic portosystemic shunt creation. J Vasc Interv Radiol 1996;7:863-866
28. Owen RJ, Rose JD. Endovascular treatment of a portal vein tear during TIPSS. Cardiovasc Intervent Radiol 2000;23:230-232
29. Schultz SR, LaBerge JM, Gordon RL, Warren RS. Anatomy of the portal vein bifurcation: intra- versus extrahepatic location: implications for transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol 1994;5:457-459
30. Saxon RS, Ross PL, Mendel-Hartvig J, et al. Transjugular intrahepatic portosystemic shunt patency and the importance of stenosis location in the, development of recurrent symptoms. Radiology 1998;207:683-693
31. Peltzer MY, Ring EJ, LaBerge JM, Haskal ZJ, Radosevich PM, Gordon RL. Treatment of Budd-Chiari syndrome with a transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol 1993;4:263-267
32. Soares GM, Murphy TP. Transcaval TIPS: indications and anatomic considerations. J Vasc Interv Radiol 1999;10:1233-1238
33. Haskal ZJ, Duszak R Jr, Furth EE. Transjugular intrahepatic transcaval portosystemic shunt: the gun-sight approach. J Vasc Interv Radiol 1996;7:139-142
34. Rozenblit G, DelGuercio LR, Savino JA, et al. Transmesenteric- transfemoral method of intrahepatic portosystemic shunt placement with minilaparotomy. J Vasc Interv Radiol 1996;7:499-506
35. Haskal ZJ, Pentecost MJ, Rubin RA. Hepatic arterial injury after transjugular intrahepatic portosystemic shunt placement: report of two cases. Radiology 1993;188:85-88
36. Pattynama PM, van Hoek B, Kool LJ. Inadvertent arteriovenous stenting during transjugular intrahepatic portosystemic shunt procedure and the importance of hepatic artery perfusion. Cardiovasc Intervent Radiol 1995;18:192-195
37. Kerlan RK Jr, LaBerge JM, Gordon RL, Ring EJ. Inadvertent catheterization of the hepatic artery during placement of transjugular intrahepatic portosystemic shunts. Radiology 1994;193:273-276
38. Mallery S, Freeman ML, Peine CJ, Miller RP, Stanchfield WR. Biliary-shunt fistula following transjugular intrahepatic portosystemic shunt placement. Gastroenterology 1996;111:1353-1357
39. Jawaid Q, Saeed ZA, Di Bisceglie AM, et al. Biliary-venous fistula complicating transjugular intrahepatic portosystemic shunt presenting with recurrent bacteremia, jaundice, anemia and fever. Am J Transplant 2003;3:1604-1607
40. Saxon RR, Mendel-Hartvig J, Corless CL, et al. Bile duct injury as a major cause of stenosis and occlusion in transjugular intrahepatic portosystemic shunts: comparative histopathologic analysis in humans and swine. J Vasc Interv Radiol 1996;7:487-497
41. Cohen GS, Young HY, Ball DS. Stent-graft as treatment for TIPS-biliary fistula. J Vasc Interv Radiol 1996;7:665-668
42. Boyvat F, Cekirge S, Balkanci F, Besim A. Treatment of a TIPS-biliary fistula by stent-graft in a 9-year-old boy. Cardiovasc Intervent Radiol 1999;22:67-68
43. Saxon RR. A new era for transjugular intrahepatic portosystemic shunts? J Vasc Interv Radiol 2004;15:217-219
44. Darcy MD, Vesely TM, Picus D, Middleton WD, Hicks ME. Percutaneous revision of an acutely thrombosed transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol 1992;3:77-80; discussion 81-72
45. Hausegger KA, Sternthal HM, Klein GE, Karaic R, Stauber R, Zenker G. Transjugular intrahepatic portosystemic shunt: angiographic follow-up and secondary interventions. Radiology 1994;191:177-181
46. Clark TW, Agarwal R, Haskal ZJ, Stavropoulos SW. The effect of initial shunt outflow position on patency of transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol 2004;15:147-152
47. Sehgal M, Brown DB, Picus D. Aortoatrial fistula complicating transjugular intrahepatic portosystemic shunt by protrusion of a stent into the right atrium: radiologic/pathologic correlation. J Vasc Interv Radiol 2002;13:409-412
48. Slonim SM, Dake MD, Razavi MK, et al. Management of misplaced or migrated endovascular stents. J Vasc Interv Radiol 1999;10:851-859
49. Ferral H, Banks B, Wholey M, Nazarian GK, Bjarnason H, Castaneda-Zuniga WR. Techniques for transjugular intrahepatic portosystemic shunt revision. AJR Am J Roentgenol 1998;171:1041-1047
50. Sterling KM, Darcy MD. Stenosis of transjugular intrahepatic portosystemic shunts: presentation and management. AJR Am J Roentgenol 1997;168:239-244
51. Cekirge S, Foster RG, Weiss JP, McLean GK. Percutaneous removal of an embolized Wallstent during a transjugular intrahepatic portosystemic shunt procedure. J Vasc Interv Radiol 1993;4:559-560
52. Linka AZ, Jenni R. Migration of intrahepatic portosystemic stent into right ventricle: an unusual cause of tricuspid regurgitation. Circulation 2001;103:161-162
53. Rumi MN, Schumann R, Freeman RB, Rohrer RJ, Fairchild RB. Acute transjugular intrahepatic portosystemic shunt migration into pulmonary artery during liver transplantation. Transplantation 1999;67:1492-1494
54. Cohen GS, Ball DS. Delayed Wallstent migration after a transjugular intrahepatic portosystemic shunt procedure: relocation with a loop snare. J Vasc Interv Radiol 1993;4:561-563
55. Hartnell GG, Crenshaw WB, Burger AJ, Hamer AW. Percutaneous removal of a fully expanded Wallstent from the right ventricle with transesophageal echocardiography guidance. J Vasc Interv Radiol 1996;7:371-374
56. Lipton M, Cynamon J, Bakal CW, Sprayregen S. Percutaneous retrieval of two Wallstent endoprostheses from the heart through a single jugular sheath. J Vasc Interv Radiol 1995;6:469-472
57. Prahlow JA, O'Bryant TJ, Barnard JJ. Cardiac perforation due to Wallstent embolization: a fatal complication of the transjugular intrahepatic portosystemic shunt procedure. Radiology 1997;205:170-172
58. Azoulay D, Castaing D, Dennison A, Martino W, Eyraud D, Bismuth H. Transjugular intrahepatic portosystemic shunt worsens the hyperdynamic circulatory state of the cirrhotic patient: preliminary report of a prospective study. Hepatology 1994;19:129-132
59. Van der Linden P, Le Moine O, Ghysels M, Ortinez M, Deviere J. Pulmonary hypertension after transjugular intrahepatic portosystemic shunt: effects on right ventricular function. Hepatology 1996;23:982-987
60. Kerlan RK Jr, LaBerge JM, Gordon RL, Ring EJ. Transjugular intrahepatic portosystemic shunts: current status. AJR Am J Roentgenol 1995;164:1059-1066
61. Walser E, Ozkan OS, Raza S, Soloway R, Gajula L. Hepatic perfusion as a predictor of mortality after transjugular intrahepatic portosystemic shunt creation in patients with refractory ascites. J Vasc Interv Radiol 2003;14:1251-1257
62. Walser EM, DeLa Pena R, Vilknueva-Meyer J, Ozkan O, Soloway R. Hepatic perfusion before and after the transjugular intrahepatic portosystemic shunt procedure: impact on survival. J Vasc Interv Radiol 2000;11:913-918
63. Zipprich A, Steudel N, Behrmann C, et al. Functional significance of hepatic arterial flow reserve in patients with cirrhosis. Hepatology 2003;37:385-392
64. Madoff DC, Wallace MJ, Ahrar K, Saxon RR. TIPS-related hepatic encephalopathy: management options with novel endovascular techniques. Radiographics 2004;24:21-36; discussion 36-37
65. Forauer AR, McLean GK. Transjugular intrahepatic portosystemic shunt constraining stent for the treatment of refractory postprocedural encephalopathy: a simple design utilizing a Palmaz stent and Wallstent. J Vasc Interv Radiol 1998;9:443-446
66. Paz-Fumagalli R, Grain MR, Mewissen MW, Varma RR. Fatal hemodynamic consequences of therapeutic closure of a transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol 1994;5:831-834
67. Kerlan RK Jr, LaBerge JM, Baker EL, et al. Successful reversal of hepatic encephalopathy with intentional occlusion of transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol 1995;6:917-921
68. Haskal ZJ, Middlebrook MR. Creation of a stenotic stent to reduce flow through a transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol 1994;5:827-829; discussion 829-830
69. Hauenstein KH, Haag K, Ochs A, Langer M, Rossle M. The reducing stent: treatment for transjugular intrahepatic portosystemic shunt-induced refractory hepatic encephalopathy and liver failure. Radiology 1995;194:175-179
70. Madoff DC, Perez-Young IV, Wallace MJ, Skolkin MD, Toombs BD. Management of TIPS-related refractory hepatic encephalopathy with reduced Wallgraft endoprostheses. J Vasc Interv Radiol 2003;14:369-374
71. Knautz MA, Abele DC, Reynolds TL. Radiodermatitis after transjugular intrahepatic portosystemic shunt. South Med J 1997;90:352-356