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A custom‐made percutaneous flow‐restrictor to manage a symptomatic congenital porto‐systemic shunt in an infant
Author(s) -
Roggen Mieke,
Cools Bjorn,
Maleux Geert,
Gewillig Marc
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27634
Subject(s) - medicine , splanchnic , shunt (medical) , percutaneous , reducer , portosystemic shunt , surgery , systemic circulation , blood flow , portal hypertension , cardiology , cirrhosis , civil engineering , engineering
Portosystemic shunts allow splanchnic blood to bypass the liver unfiltered, and may cause serious pulmonary and cerebral dysfunction; closure is therefore recommended. In patients where the portal system is hypoplastic, closure by a staged approach with a flow reducer may be necessary. We report a new, reliable, short, and adjustable device that can be delivered through a small 8‐Fr sheath.