Evidence map›Paper›PMID 38371507›Full record

ArticleBJR case reports2024

Management of a complex transjugular intrahepatic portosystemic shunt dysfunction with endotipsitis through rotational thrombectomy.

Francesco Vizzutti, Emanuele Casamassima, Gianmarco Falcone, Giacomo Gabbani, Martina Rosi, Valentina Adotti, Fabio Marra, Fabrizio Fanelli

Open access · diamondAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BJR case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Francesco VizzuttiDepartment of Experimental and Clinical Medicine, University of Florence, Florence I-50134, Italy.ORCID https://orcid.org/0000-0002-3014-8968
Emanuele CasamassimaInterventional Radiology Unit, Department of Radiology, Careggi University Hospital, Florence I-50134, Italy.
Gianmarco FalconeInterventional Radiology Unit, Department of Radiology, Careggi University Hospital, Florence I-50134, Italy.
Giacomo GabbaniInterventional Radiology Unit, Department of Radiology, Careggi University Hospital, Florence I-50134, Italy.
Martina RosiDepartment of Experimental and Clinical Medicine, University of Florence, Florence I-50134, Italy.
Valentina AdottiDepartment of Experimental and Clinical Medicine, University of Florence, Florence I-50134, Italy.
Fabio MarraDepartment of Experimental and Clinical Medicine, University of Florence, Florence I-50134, Italy.
Fabrizio FanelliInterventional Radiology Unit, Department of Radiology, Careggi University Hospital, Florence I-50134, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transjugular intrahepatic portosystemic shunting (TIPS) is an established strategy for the management of complications of portal hypertension. Endoprosthetic infection ("endotipsitis") is a rare but serious and difficult-to-treat complication of TIPS placement. Here we report the occurrence of an infected thrombus complicating TIPS placement in a patient with extra-hepatic portal vein obstruction, recurrent variceal bleeding and portal biliopathy accompanied by recurrent cholangitis. Infected thrombotic material within TIPS could be removed only by employing rotational thrombectomy. This procedure revealed the presence of a biliary fistula which carried pathogens in the systemic circulation. The multiple episodes of sepsis did no longer recur following exclusion of the biliary fistula. This case highlights the possibility to use rotational thrombectomy for the management of complex cases of TIPS dysfunction.

Indexed as

biliary fistulaEHPVOendotipsitisportal vein thrombosisrotational thrombectomyTIPS

Identifiers

PMID38371507
PMCPMC10873906
OpenAlexW4391826670

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.