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Year : 2017  |  Volume : 1  |  Issue : 1  |  Page : 20-26

MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report

1 Department of Radiology, Saint George Hospital University Medical Center, Beirut, Lebanon
2 Department of Nephrology, New York University Medical Center, New York, USA
3 The Porter Center for Liver Care, Denver, Colorado, USA
4 Department of Surgery, Houston Methodist Medical Center, Weill Cornell Medical College, Houston, TX, USA
5 Department of Radiology, Emory University Hospital, Atlanta, GA, USA

Correspondence Address:
Abbas Chamsuddin
Piedmont Newton Medical Center, 1526 Hospital Dr NE, Covington, GA 30014
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2542-7075.199571

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Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.

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