We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Transjugular intrahepatic portosystemic shunt in patients with splanchnic vein thrombosis: Prevalence and management of patent foramen ovale.
- Authors
Becchetti, Chiara; De Nicola, Stella; Gallo, Camilla; Perricone, Giovanni; Annoni, Giuseppe; Solcia, Marco; Musca, Francesco; Alfonsi, Angela; Morelli, Francesco; Barbosa, Fabiane; Brambillasca, Pietro M.; Rampoldi, Antonio; Airoldi, Aldo; Belli, Luca S.
- Abstract
Background and Aims: Transjugular intrahepatic portosystemic shunt (TIPS) is an established procedure for the treatment of several complications of portal hypertension (PH), including non‐neoplastic portal vein thrombosis (PVT). Selection criteria for TIPS in PVT are not yet well established. Despite anecdotal, cases of thromboembolic events from paradoxical embolism due to the presence of patent foramen ovale (PFO) after TIPS placement have been reported in the literature. Therefore, we aimed at describing our experience in patients with non‐neoplastic splanchnic vein thrombosis (SVT) who underwent TIPS following PFO screening. Methods: We conducted a single‐centre retrospective study, including consecutive patients who underwent TIPS for the complications of cirrhotic and non‐cirrhotic portal hypertension (NCPH) and having SVT. Results: Of 100 TIPS placed in patients with SVT, 85 patients were screened for PFO by bubble‐contrast transthoracic echocardiography (TTE) with PFO being detected in 22 (26%) cases. PFO was more frequently detected in patients with non‐cirrhotic portal hypertension (NCPH) (23% in the PFO group vs. 6% in those without PFO, p =.04) and cavernomatosis (46% in the PFO group vs. 19% in those without PFO, p =.008). Percutaneous closure was effectively performed in 11 (50%) after multidisciplinary evaluation of anatomical and clinical features. No major complications were observed following closure. Conclusions: PFO screening and treatment may be considered feasible for patients with SVT who undergo TIPS placement.
- Subjects
TRANSIENT ischemic attack; PATENT foramen ovale; PATIENT portals; PARADOXICAL embolism; PATIENT experience
- Publication
Liver International, 2024, Vol 44, Issue 9, p2458
- ISSN
1478-3223
- Publication type
Article
- DOI
10.1111/liv.16013