Jorge Enrique Lopera MD, Presenter: Nothing to Disclose

Ghazwan M. Faozi Kroma MD, Abstract Co-Author: Nothing to Disclose

Rajeev Suri MD, Abstract Co-Author: Nothing to Disclose

Wilfrido Rolando Castaneda MD, Abstract Co-Author: Nothing to Disclose

To review the tecnical steps for adequate selection of the length of the Viatorr stent graft. To illustrate the technique for precise placement of the device.  To review potential problems with poor selection of the size of the device. To illustrate several complicationes related to improper placement of the device .

How to perform a succesful TIPS using the Viatorr stent graft . 1. Description of the Viatorr stent graft . 2. How to measure the length of the device: Problems with devices too short or too long.   3. Step by step technique to deploy the device : Potential problems with advancement and deployment of the device . 4. Potential problems with misplacement : portal vein occlusion,  hepatic and inferior vena cava stenosis/occlusion, future transplant surgery problems.   

The use of a Viatorr stent graft has improved significantly the primary and secondary patency of Transjugular Portosystemic Shunts (Tips ). Due to its special dual design with a proximal uncovered portion and fully covered body, a careful and detailed technique with adequate device selection and  precise placement is very important to prevent severe complications.  

Lopera, J, Kroma, G, Suri, R, Castaneda, W, The Viatorr Stent Graft for TIPS: How to Use It and Prevent Misuses.  Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL. http://archive.rsna.org/2011/11002381.html