Direct Intrahepatic Portosystemic Shunt in Budd-Chiari Syndrome: A Case Report and Review of the Literature

Figure 2

(a) Portal venography after initial needle access through DIPS. (b) Portal venography after introduction of sheath into the portal venous system. Note the presence of gastric varices. (c) Portal venography prior to creation and stenting of the DIPS. Note portal venous thrombosis disseminated throughout. (d) Unsubtracted post-DIPS and stenting portal venography. Note the absence of thrombosis and patency of the DIPS with brisk flow of contrast.

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