Percutaneous intervention averted the need for liver transplantation

A patient with Budd–Chiari Syndrome who had Trans-jugular Intrahepatic Portosystemic Stent Shunt (TIPSS) performed with no improvement and was consequently put on the liver transplant list. A non-obstructed channel up to the right atrium was created by opening the misplaced TIPSS stent and dilating supra-hepatic inferior vena cava stenosis. Marked clinical improvement occurred with the patient losing ten kilograms of weight and both his lower limb edema and ascites disappeared 6 weeks after the procedure. In this case percutaneous intervention averted the need for liver transplantation.