Fig. 2

Transjugular intrahepatic portosystemic shunts revision with placement of additional stent graft towards the Inferior Vena Cava (IVC) confluence. A Initial transjugular intrahepatic portosystemic shunts-gram demonstrating complete occlusion of the transjugular intrahepatic portosystemic shunts with large varices. Note the transhepatic catheter (black asterisk) to the transjugular intrahepatic portosystemic shunts used to gain access to the occluded transjugular intrahepatic portosystemic shunts. B following venoplasty of the transjugular intrahepatic portosystemic shunts, there is reconstitution of low, however a persistent narrowing is present at the hepatic venous end of the transjugular intrahepatic portosystemic shunts (white arrow) with additional narrowing near the portal venous end. C Following placement of the additional stent graft, there is resolution of both narrowings with a resultant portosystemic gradient of 2