EURORAD ESR

Case 541

Transjugular intrahepatic portosystemic shunt in partially thrombosed portal vein

Author(s)
E. Brountzos, E. Koutrouveli, A. Kelekis, E. Efstathopoulos, D.A.Kelekis
 
Patient
female, 59 year(s)
 
 
  • Figure 1
    Wedged hepatic venography performed via the transjugular approach fails to depict the portal vein.

    Wedged hepatic venography performed via the transjugular approach fails to depict the portal vein.

     
    Area of Interest: unknown; Imaging Technique: Wedged hepatic venography performed via the transjugular approach fails to depict the portal vein.;
     
     
  • Figure 2
    Percutaneous portography

    Percutaneous portography with a 4-F straight catheter shows that the right portal vein is partially thrombosed.

     
    Area of Interest: unknown; Imaging Technique: Percutaneous portography;
     
     
  • Figure 3
    Direct portography with a pig-tail catheter placed via the transjugular approach
     

    The splenic and main portal veins are patent, while the right portal vein contains large amount of clot. Note the dilated coronary vein.

     
    Area of Interest: unknown; Imaging Technique: Direct portography with a pig-tail catheter placed via the transjugular approach;

    Direct portography after dilatation with a 8-mm balloon better delineates the right portal thrombus.

     
    Area of Interest: unknown; Imaging Technique: Direct portography with a pig-tail catheter placed via the transjugular approach;
     
     
  • Figure 4
    Direct portography after placement of two Wallstents.

    There is good shunt patency. Note absence of coronary vein filling.

     
    Area of Interest: unknown; Imaging Technique: Direct portography after placement of two Wallstents.;
     
     
Wedged hepatic venography performed via the transjugular approach fails to depict the portal vein.
 
Percutaneous portography with a 4-F straight catheter shows that the right portal vein is partially thrombosed.
 
The splenic and main portal veins are patent, while the right portal vein contains large amount of clot. Note the dilated coronary vein.
 
Direct portography after dilatation with a 8-mm balloon better delineates the right portal thrombus.
 
There is good shunt patency. Note absence of coronary vein filling.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version