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López-Méndez E, Zamora-Valdés D, Díaz-Zamudio M, et al. Liver failure after an uncovered TIPS procedure associated with hepatic infarction. World J Hepatol. 2010;2(4):167-70doi: 10.4254/wjh.v2.i4.167.
López-Méndez, E., Zamora-Valdés, D., Díaz-Zamudio, M., Fernández-Díaz, O. F., & Avila, L. (2010). Liver failure after an uncovered TIPS procedure associated with hepatic infarction. World journal of hepatology, 2(4), 167-70. https://doi.org/10.4254/wjh.v2.i4.167
López-Méndez, Eric, et al. "Liver failure after an uncovered TIPS procedure associated with hepatic infarction." World journal of hepatology vol. 2,4 (2010): 167-70. doi: https://doi.org/10.4254/wjh.v2.i4.167
López-Méndez E, Zamora-Valdés D, Díaz-Zamudio M, Fernández-Díaz OF, Avila L. Liver failure after an uncovered TIPS procedure associated with hepatic infarction. World J Hepatol. 2010 Apr 27;2(4):167-70. doi: 10.4254/wjh.v2.i4.167. PMID: 21160990; PMCID: PMC2998963.
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World J Hepatol. 2010 Apr 27;2(4):167-70. doi: 10.4254/wjh.v2.i4.167.

Liver failure after an uncovered TIPS procedure associated with hepatic infarction.

World journal of hepatology

Eric López-Méndez, Daniel Zamora-Valdés, Mariana Díaz-Zamudio, Oscar F Fernández-Díaz, Lourdes Avila

Affiliations

  1. Eric López-Méndez, Department of Gastroenterology, National Institute of Medical Sciences and Nutrition Salvador Zubirán (INCMNSZ), Vasco de Quiroga 15, Zip Code 14000, Mexico City, Mexico.

PMID: 21160990 PMCID: PMC2998963 DOI: 10.4254/wjh.v2.i4.167

Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) is a safe and effective procedure for the treatment of complications of liver cirrhosis, such as refractory ascites, hepatic hydrothorax and refractory variceal bleeding. The aim of this paper is to describe a rare case of liver failure after a TIPS procedure. A 38-year-old diabetic male with Child-Pugh C liver cirrhosis due to chronic hepatitis C infection who had developed refractory ascites was scheduled for a TIPS procedure. Within 24 h following TIPS placement, the patient developed distributive shock, jaundice, persistentgrade 3 hepatic encephalopathy, severe coagulopathy and acute renal failure. He was treated with lactulose enemas, broad-spectrum antibiotics and blood-derived products. Laboratory data revealed a 100-fold increase in aminotransferases and a non-enhanced computed tomography showed an irregular hypodense area in the right posterior segment of the liver. Despite being initially being in a stable condition, the patient developed progressive liver failure and died 2 mo later. Hepatic infarction is an uncommon phenomenon after a TIPS procedure; however, it can greatly complicate the course of a disease in a patient with an already compromised liver function.

Keywords: Complications; Hepatic ischemia; Ischemic hepatitis; Liver infarction; Transjugular intrahepatic portosystemic shunt

References

  1. Hepatogastroenterology. 1998 Nov-Dec;45(24):2315-21 - PubMed
  2. Am J Gastroenterol. 2008 Nov;103(11):2738-46 - PubMed
  3. Gastroenterology. 2004 Feb;126(2):469-75 - PubMed
  4. World J Gastroenterol. 2004 Mar 15;10(6):915-8 - PubMed
  5. Gut. 2009 Apr;58(4):582-4 - PubMed
  6. Radiology. 1993 Jul;188(1):85-8 - PubMed
  7. Clin Nucl Med. 1993 Nov;18(11):955-7 - PubMed
  8. Radiographics. 1993 Nov;13(6):1185-210 - PubMed
  9. Radiat Med. 2004 Nov-Dec;22(6):432-6 - PubMed
  10. Liver. 1984 Feb;4(1):50-4 - PubMed
  11. Liver Transpl. 2003 Mar;9(3):207-17 - PubMed
  12. Liver. 2001 Oct;21(5):361-4 - PubMed
  13. AJR Am J Roentgenol. 2005 Feb;184(2):505-10 - PubMed
  14. Clin Liver Dis. 2006 Aug;10(3):583-98, ix - PubMed
  15. J Vasc Interv Radiol. 1997 Jan-Feb;8(1 Pt 1):129-32 - PubMed
  16. Hepatology. 2003 Sep;38(3):778-9; author reply 779 - PubMed
  17. Am J Gastroenterol. 1993 Dec;88(12):2095-7 - PubMed
  18. Ann Hepatol. 2006 Jan-Mar;5(1):5-15 - PubMed
  19. Liver Int. 2007 Aug;27(6):742-7 - PubMed

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