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01-07-2009 | Case Report

Custom-made covered transjugular intrahepatic portosystemic shunt (TIPS) in an infant with trisomy 22 and biliary atresia

Authors: Chrysanthi Emmanouil Chlapoutaki, Stephanie Franchi-Abella, Dalila Habes, Daniele Pariente

Published in: Pediatric Radiology | Issue 7/2009

Abstract

We report an 8-month-old girl with portal hypertension secondary to biliary atresia. The decision to treat with TIPS was made at the age of 8 months due to recurrent variceal bleeding. The procedure was carried out with a 6-mm bare stent due to her small size. Radiological follow-up with Doppler US showed gradual stenosis and finally occlusion of the stent 80 days after implantation. Revision was performed with placement of an additional 6-mm expanded polytetrafluoroethylene (e-PTFE) stent-graft that had remained patent for 9 months, proving that in small children with a portal vein diameter less than 8 mm, the combination of a bare stent and stent-graft can provide excellent results.

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Title: Custom-made covered transjugular intrahepatic portosystemic shunt (TIPS) in an infant with trisomy 22 and biliary atresia
Authors: Chrysanthi Emmanouil Chlapoutaki
Stephanie Franchi-Abella
Dalila Habes
Daniele Pariente
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 7/2009
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-009-1211-z

At a glance: The STEP trials

Springer Medicine

Custom-made covered transjugular intrahepatic portosystemic shunt (TIPS) in an infant with trisomy 22 and biliary atresia

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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