Transjugular intrahepatic portosystemic shunt for palliative treatment of portal hypertension secondary to portal vein tumor thrombosis

Figure 1 TIPS procedure in patient with incomplete occlusion of portal vein trunk. A: Main portal vein dilation with eccentric tumor thrombi shoven on enhanced Ctgram. B: Superior mesenteric vein dilation with eccentric filling defect and main portal vein occlusion shown on superior mesenteric vein angiogram. C: Open shunt shown on superior mesenteric vein angiogram after stent implantation. D: Recurrence of symptoms of ascites and diarrhoea 30 d after TIPS and shunt stenosis as wall as segmental filling defects shown on follow-up angiogram.