What are possible complications of peritoneovenous shunts in the treatment of cirrhosis?

Updated: Jul 30, 2018
  • Author: David C Wolf, MD, FACP, FACG, AGAF, FAASLD; Chief Editor: BS Anand, MD  more...
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Answer

Answer

Serious complications are observed in at least 10% of the recipients of these devices, including peritoneal infection, sepsis, disseminated intravascular coagulation, congestive heart failure, and death. The author considers peritoneovenous shunts to be a last resort for patients with refractory ascites who are not candidates for TIPS or liver transplantation. The safety of repeat large-volume paracentesis procedures may actually outweigh the safety of peritoneovenous shunt placement.


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