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Radiology, Vol 189, 197-198, Copyright © 1993 by Radiological Society of North America

ARTICLES

Stent placement in a splenic vein stenosis after TIPS creation

SH Cekirge, JP Weiss, RG Foster and GK McLean
Department of Radiology, Western Pennsylvania Hospital, Pittsburgh 15224.

A hemodynamically significant splenic vein stenosis was found during placement of a transjugular intrahepatic portosystemic shunt in a patient with gastric variceal bleeding. A second stent was placed across the splenic vein stenosis, which was obstructing normal hepatopetal flow, causing venous hypertension in the splenic and short gastric veins. This produced a successful hemodynamic and angiographic result and, clinically, controlled the patient's bleeding.




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