{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:43:30Z","timestamp":1753875810179,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":58,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004434","name":"University of Florence","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004434","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022412","name":"Department of Experimental and Clinical Medicine","doi-asserted-by":"publisher","award":["60% 2022"],"award-info":[{"award-number":["60% 2022"]}],"id":[{"id":"10.13039\/501100022412","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Transjugular intrahepatic portosystemic shunting (TIPS) is an established strategy for the management of complications of portal hypertension. Endoprosthetic infection (\u201cendotipsitis\u201d) 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.<\/jats:p>","DOI":"10.1093\/bjrcr\/uaae005","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:40:00Z","timestamp":1707439200000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of a complex transjugular intrahepatic portosystemic shunt dysfunction with endotipsitis through rotational thrombectomy"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3014-8968","authenticated-orcid":false,"given":"Francesco","family":"Vizzutti","sequence":"first","affiliation":[{"name":"Department of Experimental and Clinical Medicine, University of Florence , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuele","family":"Casamassima","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Radiology, Careggi University Hospital , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianmarco","family":"Falcone","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Radiology, Careggi University Hospital , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Gabbani","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Radiology, Careggi University Hospital , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Rosi","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Medicine, University of Florence , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Adotti","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Medicine, University of Florence , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Marra","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Medicine, University of Florence , Florence I-50134, Italy"},{"name":"Center for Research, High Education and Transfer DENOThe, University of Florence , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Fanelli","sequence":"additional","affiliation":[{"name":"Interventional Radiology Unit, Department of Radiology, Careggi University Hospital , Florence I-50134, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,2,8]]},"reference":[{"issue":"5","key":"2024021711560040400_uaae005-B1","doi-asserted-by":"crossref","first-page":"2735","DOI":"10.1002\/hep.31915","article-title":"TIPS for adults without cirrhosis with chronic mesenteric venous thrombosis and EHPVO refractory to standard-of-care therapy","volume":"74","author":"Knight","year":"2021","journal-title":"Hepatology"},{"issue":"4","key":"2024021711560040400_uaae005-B2","doi-asserted-by":"crossref","first-page":"100667","DOI":"10.1016\/j.jhepr.2022.100667","article-title":"Management of splanchnic vein thrombosis","volume":"5","author":"Elkrief","year":"2023","journal-title":"JHEP Rep"},{"issue":"7","key":"2024021711560040400_uaae005-B3","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1136\/gut.2006.103606","article-title":"Portal hypertensive biliopathy","volume":"56","author":"Dhiman","year":"2007","journal-title":"Gut"},{"issue":"1","key":"2024021711560040400_uaae005-B4","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.dld.2010.06.001","article-title":"Transjugular intrahepatic potosystemic shunt with expanded-polytetrafluoroethylene-covered stents in non-cirrhotic patients with portal 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