Transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome: A comprehensive review

Figure 3 Transjugular intrahepatic portosystemic shunt revision. Shunt created 9 years before, using a dedicated stent graft (VIATORR^® TIPS Endoprosthesis; GORE^®, United States), in a patient with Budd-Chiari syndrome due to primary thrombocythemia. A: Computed tomography image demonstrating a complete occlusion of the intra-parenchymal segment of the stent graft; B: Digital subtraction angiography (DSA) following lesion crossing, confirming the occlusion; C: Final DSA demonstrating flow restoration following deployment of a 10 mm × 80 mm stent graft (Fluency™; BD, United States).