BACKGROUND The transjugular intrahepatic portosystemic stent-shunt (TIPSS) builds a shortcut between the portal vein and a liver vein, and represents a sophisticated alternative to open surgery in the management of portal hypertension or its complications. OBJECTIVES To describe clinical experiences with a low-profile nitinol stent system in TIPSS creation, and to assess primary and long-term...

OBJECTIVE To evaluate the results of selective and nonselective emergency portosystemic shunts in patients with acute variceal hemorrhage. DESIGN Retrospective review. SETTING University medical center and Veterans Affairs medical center. PATIENTS Forty-two consecutive patients who underwent emergency portosystemic shunts from 1978 through 1994. All patients had chronic liver disease (29 ...

BACKGROUND Hepatic venous outflow obstruction (HVOO) is a rare disorder that occurs predominantly due to a hypercoagulable state. The syndrome may result from hepatic vein obstruction, inferior vena cava obstruction or a combination of both and manifests with post-sinusoidal portal hypertension. The presentation may be fulminant with poor prognosis or as either acute, subacute or chronic forms ...

Background and Aim: Portosystemic myelopathy (PSM) is a rare complication in patients with portosystemic shunts, manifesting as pure motor spastic paraparesis. Case Report: We present case of PSM patient non-cirrhotic portal hypertension (NCPH). A 55-year-old female presented difficulty walking followed by progressive stiffness both lower limbs for 6 months. There was no involvement upper limbs...