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Gastroenterology Insights
Volume 8
Issue 1
10.4081/gi.2017.6906
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Gastroenterology Insights is published by MDPI from Volume 11 Issue 1 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Spontaneous Thrombosis of Large Splenorenal Shunt during Balloon-Occluded Retrograde Transvenous Obliteration in a Patient with Chronic Persistent Hepatic Encephalopathy. Is This Catheter Assisted Trans-Venous Occlusion?

by
Lijesh Kumar
1,
Cyriac Abby Philips
1,*,
Prakash Zacharias
1,
Sudarshan Patil
3 and
Philip Augustine
1
1
Department of Diagnostic and Interventional Radiology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, Kerala
2
Department of Hepatology and Transplant Medicine, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, Kerala
3
Department of Gastroenterology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, Kerala
4
Department of Hepatology and Transplant Medicine and Department of Gastroenterology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, Kerala
*
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2017, 8(1), 6906; https://doi.org/10.4081/gi.2017.6906
Submission received: 26 September 2016 / Accepted: 14 December 2016 / Published: 13 December 2017

Abstract

Large spontaneous portosystemic shunts in cirrhosis are implicated in recurrent and/or chronic persistent hepatic encephalopathy. In long standing cases, these shunts lead to portal vein thrombosis and hepatic dysfunction. Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascular technique that is usually employed for shunt closure in the patients manifesting the features of chronic hepatic encephalopathy. There are several reports documenting systemic and portal vein thrombosis as a part of the procedure. We report first time a patient in whom the difficult and partial BRTO procedure led to the extensive thrombosis of the large splenorenal shunt itself without sclerosant instillation.
Keywords: cirrhosis; portal hypertension; portosystemic shunts; hepatic encephalopathy; BRTO; shunt occlusion cirrhosis; portal hypertension; portosystemic shunts; hepatic encephalopathy; BRTO; shunt occlusion

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MDPI and ACS Style

Kumar, L.; Philips, C.A.; Zacharias, P.; Patil, S.; Augustine, P. Spontaneous Thrombosis of Large Splenorenal Shunt during Balloon-Occluded Retrograde Transvenous Obliteration in a Patient with Chronic Persistent Hepatic Encephalopathy. Is This Catheter Assisted Trans-Venous Occlusion? Gastroenterol. Insights 2017, 8, 6906. https://doi.org/10.4081/gi.2017.6906

AMA Style

Kumar L, Philips CA, Zacharias P, Patil S, Augustine P. Spontaneous Thrombosis of Large Splenorenal Shunt during Balloon-Occluded Retrograde Transvenous Obliteration in a Patient with Chronic Persistent Hepatic Encephalopathy. Is This Catheter Assisted Trans-Venous Occlusion? Gastroenterology Insights. 2017; 8(1):6906. https://doi.org/10.4081/gi.2017.6906

Chicago/Turabian Style

Kumar, Lijesh, Cyriac Abby Philips, Prakash Zacharias, Sudarshan Patil, and Philip Augustine. 2017. "Spontaneous Thrombosis of Large Splenorenal Shunt during Balloon-Occluded Retrograde Transvenous Obliteration in a Patient with Chronic Persistent Hepatic Encephalopathy. Is This Catheter Assisted Trans-Venous Occlusion?" Gastroenterology Insights 8, no. 1: 6906. https://doi.org/10.4081/gi.2017.6906

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