VIDEO: Technique to Restrict the Gore Viatorr Stent-Graft for TIPS Reduction.

Geeratikun, Yindee; Timmermans, Hans; Uchida, Barry; Jahangiri, Younes; Horikawa, Masahiro; Kaufman, John A; Farsad, Khashayar · AJR Am J Roentgenol · 2018

case_report · Level V

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Abstract

The Viatorr stent-graft (W. L. Gore and Associates), specifically made for transjugular intrahepatic portosystemic shunt (TIPS) creation, has significantly improved TIPS patency compared with bare metal stents. Post-TIPS hepatic encephalopathy (HE), however, remains relatively common after TIPS creation. We describe a technique to secondarily restrict a Viatorr stent-graft to treat post-TIPS refractory HE and maintain use of the Viatorr device. We show a simple technique to modify the Viatorr stent-graft for TIPS reduction.

Medical subject headings