Transjugular intrahepatic portosystemic shunt creation via isolated persistent left superior vena cava: a case series

CVIR Endovascular

Christopher R. Ingraham¹  Karim Valji¹  David S. Shin¹  Spencer B. Lewis¹  Guy E. Johnson¹  Jeffrey Forris Beecham Chick²  Eric J. Monroe² 

[1] Division of Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, 98195, Seattle, WA, USA;Division of Interventional Radiology, Department of Radiology, University of Washington, 1959 Northeast Pacific Street, 98195, Seattle, WA, USA;Division of Interventional Radiology, Department of Radiology, Seattle Children’s Hospital, 4800 Sand Point Way Northeast, 9810, Seattle, WA, USA;

关键词: Left-sided superior vena cava;    Persistent left superior vena cava;    Isolated persistent left superior vena cava;    PLSVC;    Intrathoracic venous anomaly;    Coronary sinus;    Transjugular intrahepatic portosystemic shunt;    TIPS;   

DOI  :  10.1186/s42155-020-00169-4

来源: Springer

【 摘 要 】

BackgroundIsolated persistent left superior vena cava (PLSVC) is a rare vascular anatomic variant, which can be an incidental finding at the time of an endovascular procedure.Case presentationThis report describes the technical success, adverse events, and clinical outcomes of transjugular intrahepatic portosystemic shunt (TIPS) creation via isolated PLSVC. Three adult patients with cirrhosis and isolated PLSVC underwent TIPS placement successfully with one major adverse event. Two patients required TIPS revision within 90 days. There were no deaths within 90 days.ConclusionsTIPS creation via isolated PLSVC is feasible using standard techniques with a left jugular vein approach. Caution is warranted during the procedure to assess for any aberrant drainage pattern to the left atrium and to prepare for potentially challenging instrument navigation through the coronary sinus.

【 授权许可】

CC BY