Abstract

VAZQUEZ LUNA, Frank; JORDAN GONZALEZ, José Antonio  and  CASAL RIVAS, Moises. Transjugular intrahepatic portosystemic shunt in the management of portal hypertension. Rev Cubana Angiol Cir Vasc [online]. 2017, vol.18, n.2, pp.218-225. ISSN 1682-0037.

Transjugular intrahepatic portosystemic shunt is an effective accepted treatment in the management of portal hypertension complications in a hepatic cirrhosis patient. Transjugular intrahepatic portosystemic shunt placement is a safe technique that improves the quality of life of these patients and of those suffering from refractory ascites and gastrointestinal bleedings. This procedure emerged over 20 years ago; however no reports on Cuban literature about the implementation of this technique are found. This article described the placement of a covered portosystemic stent graft performed in a 52 years-old male patient who presented with upper digestive bleeding resulting from enolic cirrhosis diagnosed 6 years before. The procedure was performed with no immediate complicatios and instant reduction of portal pressure from 24 to 12 %. We consider that the transjugular intrahepatic portosystemic shunt could be technically placed by the interventionist radiologist. The results will depend to a great extent on the experience of the staff. This procedure, which gains more reliability among physicians and patients because of its high rate of success and resolute capacity, may be implemented in Cuba on a systematic basis. Taking this initial experience as a starting point, the procedure may be extended to other hospitals in the country for the benefit of the patients.

Keywords : Transjugular intrahepatic portosystemic shunt; shunt; stent.

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