Transjugular intrahepatic portosystemic shunt in refractory chylothorax due to liver cirrhosis

Figure 1 Chest X-ray before transjugular intrahepatic portosystemic shunt placement, showing a large right-sided pleural effusion.

Figure 2 Angiogram after transjugular intrahepatic portosystemic shunt placement, the catheter tip is in the portal vein.

Figure 3 Need for pleurocentesis over time. There is a clear drop after transjugular intrahepatic portosystemic shunt (TIPS) placement in March (arrow) and no need for further pleurocentesis after TIPS revision in November (dotted arrow).

Figure 4 Chest X-ray during follow up without pleural effusion.