Transjugular Intrahepatic Portosystemic Shunt Creation for Recurrent Gastrointestinal Bleeding during Pregnancy

Clare Savage; Jaynish Patel; M. Rita Lepe; Charles H. Lazarre; Chet R. Rees

doi:10.1016/j.jvir.2007.03.009

Transjugular Intrahepatic Portosystemic Shunt Creation for Recurrent Gastrointestinal Bleeding during Pregnancy

Clare Savage, Jaynish Patel, M. Rita Lepe, Charles H. Lazarre, Chet R. Rees

Research output: Contribution to journal › Article › peer-review

35 Scopus citations

Abstract

Treatment of bleeding esophageal varices during pregnancy is a rare clinical dilemma. Primary therapy remains endoscopy and band ligation. Refractory variceal hemorrhage treated with a transjugular intrahepatic portosystemic shunt (TIPS) procedure potentially exposes the fetus to radiation. The present report describes a TIPS procedure performed at 22 weeks gestation with the use of radiation-sparing maneuvers in a patient with recurrent esophageal variceal hemorrhage. The TIPS procedure delivered an estimated fetal dose of 5.49 mSv (0.549 Rad), much less than the dose threshold thought to induce biologic effects and only slightly greater than annual background radiation. The interventional radiologist should not hesitate to perform a TIPS procedure for refractory variceal hemorrhage with use of strategies aimed at minimizing radiation.

Original language	English (US)
Pages (from-to)	902-904
Number of pages	3
Journal	Journal of Vascular and Interventional Radiology
Volume	18
Issue number	7
DOIs	https://doi.org/10.1016/j.jvir.2007.03.009
State	Published - Jul 2007
Externally published	Yes

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.jvir.2007.03.009

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title = "Transjugular Intrahepatic Portosystemic Shunt Creation for Recurrent Gastrointestinal Bleeding during Pregnancy",

abstract = "Treatment of bleeding esophageal varices during pregnancy is a rare clinical dilemma. Primary therapy remains endoscopy and band ligation. Refractory variceal hemorrhage treated with a transjugular intrahepatic portosystemic shunt (TIPS) procedure potentially exposes the fetus to radiation. The present report describes a TIPS procedure performed at 22 weeks gestation with the use of radiation-sparing maneuvers in a patient with recurrent esophageal variceal hemorrhage. The TIPS procedure delivered an estimated fetal dose of 5.49 mSv (0.549 Rad), much less than the dose threshold thought to induce biologic effects and only slightly greater than annual background radiation. The interventional radiologist should not hesitate to perform a TIPS procedure for refractory variceal hemorrhage with use of strategies aimed at minimizing radiation.",

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T1 - Transjugular Intrahepatic Portosystemic Shunt Creation for Recurrent Gastrointestinal Bleeding during Pregnancy

AU - Savage, Clare

AU - Patel, Jaynish

AU - Lepe, M. Rita

AU - Lazarre, Charles H.

AU - Rees, Chet R.

PY - 2007/7

Y1 - 2007/7

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AB - Treatment of bleeding esophageal varices during pregnancy is a rare clinical dilemma. Primary therapy remains endoscopy and band ligation. Refractory variceal hemorrhage treated with a transjugular intrahepatic portosystemic shunt (TIPS) procedure potentially exposes the fetus to radiation. The present report describes a TIPS procedure performed at 22 weeks gestation with the use of radiation-sparing maneuvers in a patient with recurrent esophageal variceal hemorrhage. The TIPS procedure delivered an estimated fetal dose of 5.49 mSv (0.549 Rad), much less than the dose threshold thought to induce biologic effects and only slightly greater than annual background radiation. The interventional radiologist should not hesitate to perform a TIPS procedure for refractory variceal hemorrhage with use of strategies aimed at minimizing radiation.

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Transjugular Intrahepatic Portosystemic Shunt Creation for Recurrent Gastrointestinal Bleeding during Pregnancy

Abstract

ASJC Scopus subject areas

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