Fig. 2

A 25-year-old female with Budd-Chiari and occluded index TIPS. Puncture of the portal vein was done from the left PV (arrow) and the portogram in lateral (a) and AP (b) views show occluded index TIPS. Injury of the left bile duct is seen with contrast filling the biliary system (c). Final portogram after insertion of PS showed complete patency with good shunting of contrast to cava (d)