Key result
Endovascular retrieval of a migrated TIPS stent resolves asymptomatic NSVT in a single case.
Why the study?
Intracardiac migration of a transjugular intrahepatic portosystemic shunt (TIPS) stent is a rare but potentially life-threatening complication.
Case Report (n=1)
Highlights the importance of early post-TIPS monitoring and demonstrates successful endovascular retrieval of a migrated stent causing ventricular arrhythmias.
Alerts clinicians to monitor for rare TIPS stent migration causing VT; leaves incidence and prevention open for prospective study.
Intracardiac migration of a transjugular intrahepatic portosystemic shunt (TIPS) stent is a rare but potentially life-threatening complication. A 52-year-old man developed asymptomatic nonsustained ventricular tachycardia within 24 hours of elective TIPS creation. Echocardiography demonstrated a migrated TIPS bare-metal stent segment protruding into the right ventricle and interacting with the tricuspid valve. The stent was retrieved endovascularly using balloon and snare techniques via dual venous access under echocardiographic and fluoroscopic guidance. Arrhythmias resolved after stent removal. This case highlights the importance of early post-TIPS monitoring and prompt endovascular intervention for intracardiac stent migration presenting with ventricular arrhythmias.
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Zahdeh et al. (2026) conducted a case report in Intracardiac migration of a TIPS stent causing ventricular tachycardia (n=1). Endovascular stent retrieval was evaluated on Resolution of arrhythmias. Endovascular retrieval of a migrated TIPS stent using balloon and snare techniques successfully resolved asymptomatic nonsustained ventricular tachycardia in a 52-year-old man.
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