PMID: 11932373Apr 5, 2002Paper

Aortoatrial fistula complicating transjugular intrahepatic portosystemic shunt by protrusion of a stent into the right atrium: radiologic/pathologic correlation

Journal of Vascular and Interventional Radiology : JVIR
Manu SehgalDaniel Picus

Abstract

Numerous procedural complications of creation of a transjugular intrahepatic portosystemic shunt (TIPS) have been reported. In this article, a case of an aorto-right-atrial fistula after the revision of a TIPS is reported. The fistula developed from the free edge of a stent that protruded into the right atrium. The patient developed progressive right heart failure and eventually died of complications of right heart failure. Prevention of this potential complication with careful catheter manipulations under fluoroscopic observation around newly placed stents is recommended to prevent dislodgement of the stents. Careful deployment that avoids extension of the stent into the right atrium is essential to avoid the complication of cardiac perforation.

References

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Citations

Jan 18, 2003·Current Gastroenterology Reports·Timothy M McCashland
Jun 1, 2006·Seminars in Interventional Radiology·Renato RipamontiNilesh H Patel
Sep 22, 2012·AJR. American Journal of Roentgenology·Michael Darcy
Sep 25, 2012·Journal of Vascular and Interventional Radiology : JVIR·Yozo SatoYasuaki Arai
Sep 10, 2005·Journal of Vascular and Interventional Radiology : JVIR·Marcelo GuimarãesJ Bayne Selby
Jan 25, 2012·The Annals of Thoracic Surgery·María Teresa Barrio-LópezJuan José Gavira-Gómez
Mar 22, 2016·Techniques in Vascular and Interventional Radiology·Andrew G TaylorRobert K Kerlan
May 7, 2005·International Journal of Clinical Practice. Supplement·J T HsuN J Cheng
Oct 28, 2017·Cardiology in Review·Elizabeth A FierroSonu Sahni
Jul 8, 2017·Cardiovascular and Interventional Radiology·Daniel KuettingCarsten Meyer
Dec 19, 2020·Journal of Veterinary Internal Medicine·Chick WeisseRick E Cober

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