Endovascular Transjugular Occlusion of Congenital Intrahepatic Portosystemic Venous Shunt Using Simultaneous Fluoroscopy and Transabdominal Ultrasound Guidance: Report of 2 Cases

Congenital intrahepatic portosystemic venous shunts (CIPVS) are rare anomalies that can be detected before birth or in early infancy or later in life. Symptomatic shunts are treated as they carry high risk of complications like hepatic encephalopathy. Various treatment options include surgery, endov...

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Bibliographic Details
Published in:Current problems in diagnostic radiology 2020-01, Vol.49 (1), p.64-66
Main Authors: Gorsi, Ujjwal, Kalra, Naveen, Gupta, Pankaj, Rayasam, Karthik, Thapa, Babu Ram, Bhagat, Hemant, Khandelwal, Niranjan
Format: Article
Language:English
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Summary:Congenital intrahepatic portosystemic venous shunts (CIPVS) are rare anomalies that can be detected before birth or in early infancy or later in life. Symptomatic shunts are treated as they carry high risk of complications like hepatic encephalopathy. Various treatment options include surgery, endovascular embolization, and percutaneous closure devices. We treated 2 infants with CIPVS successfully by endovascular embolization of the shunt using vascular plug through transjugular route. Transabdominal ultrasound guidance in addition to fluoroscopy was used at the time of vascular plug placement. We emphasize that the use of transabdominal ultrasound during endovascular occlusion enhances the safety and technical success rate.
ISSN:0363-0188
1535-6302
DOI:10.1067/j.cpradiol.2018.03.007