Transjugular intrahepatic portosystemic shunt placement in liver transplant recipients: experiences with pediatric and adult patients

AJR Am J Roentgenol. 2005 Mar;184(3):920-5. doi: 10.2214/ajr.184.3.01840920.


Objective: The purpose of our study was to evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunts (TIPS) in pediatric and adult liver transplant recipients. A retrospective review of six TIPS placed in six liver transplant recipients-a pediatric patient with a split liver transplant, a pediatric patient with left lateral segment transplant, and four adult patients-was performed.

Conclusion: TIPS placement in both pediatric and adult liver transplant recipients is feasible. In liver transplant patients who are recipients of a left lateral segment or a split liver transplant, knowledge of the liver transplant anatomy is critical in the placement of TIPS. TIPS placement is a treatment option and a bridge to retransplantation for patients who have undergone liver transplantation and develop sequelae of portal hypertension.

MeSH terms

  • Adolescent
  • Age Factors
  • Aged
  • Child, Preschool
  • Female
  • Humans
  • Liver Transplantation* / diagnostic imaging
  • Male
  • Middle Aged
  • Portasystemic Shunt, Transjugular Intrahepatic*
  • Radiography
  • Retrospective Studies