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Transjugular intrahepatic portosystemic shun (TIPS) dysfunction is usually secondary to acute thrombosis within the stent, pseudointimal hyperplasia in the TIPS parenchymal tract, or intimal hyperplasia in the outflow hepatic vein. Several methods have been used in treating TIPS dysfunction, including balloon angioplasty, stent insertion, and the creation of a parallel TIPS. We report a case of refractory variceal bleeding in which a parallel TIPS was successfully created after failure to recanalize the preexisting occluded TIPS.

journal of clinical interventional radiology isvir

Parallel Transjugular Intrahepatic Portosystemic Shunt (TIPS) Creation in a Patient with a Preexisting Unsalvageable Occluded TIPS and Refractory Variceal Bleeding