Work

Transhepatic Revision of Occluded Transjugular Intrahepatic Portosystemic Shunt Complicated by Endotipsitis

Year: 2018

Type: article

Abstract: A rare but potentially lethal complication of transjugular intrahepatic portosystemic shunt (TIPS) creation is stent infection, referred to as “endotipsitis.”[ 1 ] This condition—due to microorganism colonization of a TIPS stent graft with biofilm formation—is associated with high morbidity and mortality rates, and requires aggressive management with antibiotic therapy and possible removal of the infected device. Herein, we present a case of endotipsitis attributed to transhepatic revision of an occluded TIPS created 3 years earlier, leading to refractory sepsis requiring prolonged antibiotic therapy and hospitalization, and ultimately orthotopic liver transplantation (OLT). We further provide an overview of endotipsitis, its diagnosis, incidence, and management.

Source: Seminars in Interventional Radiology

DOI: 10.1055/s-0038-1676092

Authors: Anne Darrow, Ron Gaba, R. Lokken

Institutions: University of Illinois Chicago, University of Illinois Hospital & Health Sciences System, University of California, San Francisco

Language: English

Topic: Liver Disease and Transplantation

Subfield: Hepatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W2912074139