Thrombosis and Paradoxical Embolism in Transjugular Intrahepatic Portosystemic Shunt Procedure

Ruijun Ji*, Yaqiu Bai, Lijuan Du3, Liu Zhu, Yanfang Liu and Xingquan Zhao

Department of Neurology, Tiantan Hospital, Capital Medical University, Beijing, China Emergency Stroke and Neurology Unit, Tiantan Hospital, Capital Medical University, Beijing, China Department of Ultrasonography, Tiantan Hospital, Capital Medical University, Beijing, China China National Clinical Research Center for Neurological Diseases, Beijing, China Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, China Beijing Key Laboratory of Brain Function Reconstruction, Beijing, China

^*Correspondance to: Ruijun Ji 

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Abstract:

Oesophageal or gastric varix bleeding is a serious complication in cirrhotic liver disease with portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established modality for decreasing portal hypertension. Although the resultant shunting of portal venous flow to the systemic circulation helps reduce the portosystemic gradient and alleviate bleeding, thrombosis during TIPS procedure might be a potential source of emboli and could cause stroke in patients with undiscovered right-to-left shunt. In the study, we reported a case of paradoxical embolism associated with TIPS procedure, as indicated that it is imperative to screen potential risk of stroke before TIPS procedure.

Keywords:

Oesophageal bleeding, Transjugular intrahepatic portosystemic shunt, Paradoxical embolism, Stroke

Cite the Article:

Ji R, Bai Y, Du L, Zhu L, Liu Y, Zhao X. Thrombosis and Paradoxical Embolism in Transjugular Intrahepatic Portosystemic Shunt Procedure. Ann Clin Case Rep. 2025; 10: 2726..