Treatment of TIPS/biliary fistula-related endotipsitis with a covered stent.

Journal Article (Journal Article)

"Infective endotipsitis" describes a recurrent bacteremia or fungemia in patients with a transjugular intrahepatic portosystemic shunt (TIPS) in place and no other identifiable source of infection. The present report describes a patient who developed polymicrobial endotipsitis 6 years after TIPS creation. Blood cultures remained positive for polymicrobial growth despite long courses of antibiotic therapy. Communication between the TIPS and an infected biliary tree, precipitated by cholecystitis, was ultimately recognized. The biliary/TIPS fistula was closed with a polytetrafluoroethylene-covered stent. The patient remains asymptomatic and follow-up blood cultures remain negative with a low dose of oral antibiotics 2 years after the procedure.

Full Text

Duke Authors

Cited Authors

  • Suhocki, PV; Smith, AD; Tendler, DA; Sexton, DJ

Published Date

  • June 2008

Published In

Volume / Issue

  • 19 / 6

Start / End Page

  • 937 - 939

PubMed ID

  • 18503911

International Standard Serial Number (ISSN)

  • 1051-0443

Digital Object Identifier (DOI)

  • 10.1016/j.jvir.2008.01.026


  • eng

Conference Location

  • United States