Endovascular trans-jugular occlusion of congenital intrahepatic porto systemic venous shunt using simultaneous fluoroscopy and trans-abdominal ultrasound guidance: Report of two cases

Publication date: Available online 20 March 2018
Source:Current Problems in Diagnostic Radiology
Author(s): Ujjwal Gorsi, Naveen Kalra, Pankaj Gupta, Karthik Rayasam, Babu Ram Thapa, Hemant Bhagat, Niranjan Khandelwal
Congenital intrahepatic portosystemic venous shunts (CIPVS) are rare anomalies that can be detected before birth or in early infancy or later in life. Symptomatic shunts are treated as they carry high risk of complications like hepatic encephalopathy. Various treatment options include surgery, endovascular embolization and percutaneous closure devices. We treated two infants with CIPVS successfully by endovascular embolization of the shunt using vascular plug through transjugular route. Trans-abdominal ultrasound guidance in addition to fluoroscopy was used at the time of vascular plug placement. We emphasize that the use of transabdominal ultrasound during endovascular occlusion enhances the safety and technical success rate.



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