Transient hemodynamic instability caused by TIPS
Authors:
David Schneider; Vladimír Kojecký
Authors place of work:
Interní oddělení, Krajská nemocnice Tomáše Bati ve Zlíně
Published in the journal:
Vnitř Lék 2023; 69(E-4): 16-19
Category:
Case reports
doi:
https://doi.org/10.36290/vnl.2023.053
Summary
Variceal bleeding belongs to the one of the complications of portal hypertension and is a life-threatening condition. A transjugular intrahepatic portosystemic shunt (TIPS) is indicated in case of failure of the pharmacological and endoscopic therapy, even if it is associated with complications. Stent migration to the heart, is a rare event which may cause perforation of the right cardiac chambers or damage to the tricuspid valve. However, it may not be a problem in some cases. There are two approaches to extraction – percutaneous or surgical. Leaving the stent in situ is possible, especially in polymorbid patients. Choosing an optimal approach often requires interdisciplinary cooperation.
Keywords:
portal hypertension – stent migration – tricuspid regurgitation – endoscopic ligation – oesophageal varices – TIPS – variceal bleeding
Zdroje
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Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Internal Medicine
2023 Číslo E-4
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