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Fig. 3C —42-year-old man with Budd-Chiari syndrome and variceal
bleeding (patient 13, Table 2).
Angiograms show success of transjugular intrahepatic portosystemic shunt
(TIPS) procedure performed with Viatorr stent-graft (diameter, 10 mm; length,
80 mm; W. L. Gore and Associates) (A). One year after treatment,
patient underwent MDCT for ascites; complete stent-graft occlusion was
observed (B, multiplanar reformation in coronal plane) associated with
incomplete track coverage at level of hepatic vein (C), volume
rendering in coronal-oblique plane). Catheterization of stent-graft was not
feasible, requiring creation of a new track; angiography after placement of
TIPS showed correct deployment of Viatorr stent-graft (diameter, 10 mm;
length, 70 mm) followed by coil embolization of a large varix (D).
