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©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Feb 27, 2019; 11(2): 217-225
Published online Feb 27, 2019. doi: 10.4254/wjh.v11.i2.217
Published online Feb 27, 2019. doi: 10.4254/wjh.v11.i2.217
Parallel transjugular intrahepatic portosystemic shunt with Viatorr® stents for primary TIPS insufficiency: Case series and review of literature
Driss Raissi, Qian Yu, Michael Nisiewicz, Steven Krohmer, Department of Radiology, University of Kentucky, Lexington, KY 40536, United States
Author contributions: Raissi D designed the literature review, drafted and revised the manuscript and selected images; Yu Q performed research, drafted manuscript and created the table; Nisiewicz M performed research and drafted manuscript; Krohmer S reviewed and guided the manuscript.
Informed consent statement: Informed consent was obtained from each patient.
Conflict-of-interest statement: All authors state no conflict of interest.
Open-Access: This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Driss Raissi, MD, Assistant Professor of Radiology, Medicine and Obstetrics & Gynecology. Department of Radiology, University of Kentucky, 800 Rose Street, Lexington, KY 40536, United States. driss.raissi@uky.edu
Telephone: +1-859-3231004 Fax: +1-859-2574884
Received: August 31, 2018
Peer-review started: August 31, 2018
First decision: October 16, 2018
Revised: December 31, 2018
Accepted: January 9, 2019
Article in press: January 9, 2019
Published online: February 27, 2019
Processing time: 179 Days and 7.8 Hours
Peer-review started: August 31, 2018
First decision: October 16, 2018
Revised: December 31, 2018
Accepted: January 9, 2019
Article in press: January 9, 2019
Published online: February 27, 2019
Processing time: 179 Days and 7.8 Hours
Core Tip
Core tip: To our knowledge, we are first to report a three-case series with 6-month follow-up data using Viatorr® for both primary transjugular intrahepatic portosystemic shunt (TIPS) and parallel TIPS placement for the management of recurrent upper gastrointestinal variceal hemorrhage. Although, parallel TIPS placement has been previously reported, it was largely using bare metal stents and/or fully covered stents. Data regarding the use of the partially polytetrafluoroethylene-covered nitinol stent (Viatorr®) in parallel TIPS placement is largely lacking despite this device being the current gold standard for TIPS placement.