TIPS in polycystic liver disease

[David Patch]

i recognise that this has normally been seen as a contraindication but can I ask-has anyone performed a TIPS in patient with polycystic disease-and if so-what was the outcome?
I have been asked the question-and before I say a categorical “no” I just wanted to check!
Thank you
David Patch

[Eric Tjwa]

Hi David,

We have experienced some cases of portal hypertension in PLD. Most of times we were able to manage cystvolume or even stentplacement (in the venous outflow tract). Never had to place a TIPSS, but has been reported in literature. Perhaps this could be of help: Liver International. 2019;39:2024–2033.
Warm regards
Eric Tjwa

[Filipe Andrade]

Hi,

We have also encountered a few cases of portal hypertension in patients with PLD. In one case with refractory ascites, we proceeded with TIPS placement, which allowed us to control the ascites. The procedure was technically challenging, but feasible.

Regards,

Filipe Andrade

[Author]

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