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Dzhurakulov Sh.R.

Filatov Moscow City Clinical Hospital No. 15

Vechorko V.I.

Filatov Moscow City Clinical Hospital No. 15

Faibushevich A.G.

Patrice Lumumba Peoples’ Friendship University of Russia

Tashliev K.V.

Filatov Moscow City Clinical Hospital No. 15

Fakhriev Zh.A.

Patrice Lumumba Peoples’ Friendship University of Russia

Successful repeated endovascular procedure for TIPS thrombosis

Authors:

Dzhurakulov Sh.R., Vechorko V.I., Faibushevich A.G., Tashliev K.V., Fakhriev Zh.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11): 129‑133

DOI: 10.17116/hirurgia2025111129

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Table of contents

SUCCESSFUL REPEATED ENDOVASCULAR PROCEDURE FOR TIPS THROMBOSIS
SUCCESSFUL REPEATED ENDOVASCULAR PROCEDURE FOR TIPS THROMBOSIS

To cite this article:

Dzhurakulov ShR, Vechorko VI, Faibushevich AG, Tashliev KV, Fakhriev ZhA. Successful repeated endovascular procedure for TIPS thrombosis. Pirogov Russian Journal of Surgery. 2025;(11):129‑133. (In Russ.)
https://doi.org/10.17116/hirurgia2025111129

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Abstract:

Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive and effective treatment for gastrointestinal variceal bleeding and refractory ascites associated with portal hypertension. However, TIPS dysfunction occurs for various reasons and can lead to recurrent complications. In such cases, repeated endovascular intervention can be performed for portal hypertension. This article presents one of the methods of endovascular correction (Y-stenting) for TIPS thrombosis.

Keywords:

portal hypertension
TIPS
bleeding
dysfunction
Y-stenting

Authors:

Dzhurakulov Sh.R.

Filatov Moscow City Clinical Hospital No. 15

Vechorko V.I.

Filatov Moscow City Clinical Hospital No. 15

Faibushevich A.G.

Patrice Lumumba Peoples’ Friendship University of Russia

Tashliev K.V.

Filatov Moscow City Clinical Hospital No. 15

Fakhriev Zh.A.

Patrice Lumumba Peoples’ Friendship University of Russia

Received:

11.12.2024

Accepted:

29.12.2024

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References:

  1. Saltini D, Indulti F, Guasconi T, Bianchini M, Cuffari B, Caporali C, Casari F, Prampolini F, Senzolo M, Colecchia A, Schepis F. Transjugular Intrahepatic Portosystemic Shunt: Devices Evolution, Technical Tips and Future Perspectives. J Clin Med. 2023;12(21):6758. https://doi.org/10.3390/jcm12216758
  2. Colombato L. The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension. J Clin Gastroenterol. 2007;41(3):344-351.  https://doi.org/10.1097/MCG.0b013e318157e500
  3. Büttner L, Pick L, Jonczyk M, Fehrenbach U, Collettini F, Auer TA, Schnapauff D, De Bucourt M, Wieners G, Gebauer B, Aigner A, Böning G. Shunt dysfunction and mortality after transjugular intrahepatic portosystemic shunt (TIPS) in patients with portal hypertension. Insights into imaging. 2024;15(1):193.  https://doi.org/10.1186/s13244-024-01768-8
  4. Tesdal IK, Filser T, Weiss C, Holm E, Dueber C, Jaschke W. Transjugular intrahepatic portosystemic shunts: adjunctive embolotherapy of gastroesophageal collateral vessels in the prevention of variceal rebleeding. Radiology. 2005 July;236(1):360-367. Epub 2005 June 13. PMID: 15955858. https://doi.org/10.1148/radiol.2361040530
  5. Tripathi D, Stanley AJ, Hayes PC, Travis S, Armstrong MJ, Tsochatzis EA, Rowe IA, Roslund N, Ireland H, Lomax M, Leithead JA, Mehrzad H, Aspinall RJ, McDonagh J, Patch D. Transjugular intrahepatic portosystemic stent-shunt in the management of portal hypertension. Gut. 2020;69(7):1173-1192. https://doi.org/10.1136/gutjnl-2019-320221
  6. Nguyen C, Robinson T, Borgmann AJ, Baron C, Imani RA. A method for revision of a foreshortened transjugular intrahepatic portosystemic shunt (TIPS) stent using transhepatic trans-stent access. Radiol Case Reports. 2021;16(9):2376-2381. https://doi.org/10.1016/j.radcr.2021.06.019
  7. Kanterman RY, Darcy MD, Middleton WD, Sterling KM, Teefey SA, Pilgram TK. Doppler sonography findings associated with transjugular intrahepatic portosystemic shunt malfunction. Am J Roentgenol. 1997;168(2):467-472.  https://doi.org/10.2214/ajr.168.2.9016228
  8. Cura M, Cura A, Suri R, El-Merhi F, Lopera J, Kroma G. Causes of TIPS dysfunction. Am J Roentgenol. 2008;191(6):1751-1757. https://doi.org/10.2214/AJR.07.3534
  9. Li X, Wang HL, Zhou TY, Chen SQ, Nie CH, Zhang YL, Yu ZN, Zhou GH, Zhu TY, Sun JH. Zhonghua gan zang bing za zhi = Chinese Journal of Hepatology. 2020;28(9):742-746.  https://doi.org/10.3760/cma.j.cn501113-20200301-00079
  10. Alwarraky MS, Elzohary HA, Melegy MA, et al. Parallel transjugular intrahepatic portosystemic shunt (TIPS) for TIPS dysfunction: technical and patency outcome. Egyptian J Radiol Nuclear Med. 2020;51:229.  https://doi.org/10.1186/s43055-020-00332
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