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Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: Parallel transjugular intrahepatic portosystemic shunt (TIPS) for TIPS dysfunction: technical and patency outcome

Fig. 3

A 41-year-old male presented with recurrent ascites due to occluded TIPS for Budd-Chiari syndrome. Puncture of the portal vein was done from the left PV and portogram (arrow) (a). However, hematoma developed from multiple punctures (b). Portography was done with retrograde filling of the left gastric, splenic, and superior mesenteric veins (c). Final portogram after insertion of PS showed good flow through the shunt with absence of the retrograde filling of the portal tributaries (d)

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