PMC4444167_01
Snare placed over the cranial edge of the Viatorr dislodged to the right atrium.
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The loop of the snare was placed over the cranial edge of the Viatorr (Figure 1).
Removed Viatorrs.
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However, during that withdrawal, the second (coaxially placed in the first one) Viatorr followed into IVC and the removal procedure was repeated as described above (Figure 2).
PMC4444167_02
Viatorr connecting the bile duct with IVC.
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During transjugular, transhepatic attempt to puncture PV, a bile duct was accidentally entered (Figure 3).
CO2 portography through the catheter placed through a paraumbilical vein.
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Cobra catheter was advanced to the right portal vein branch. CO2 portography through that catheter showed a hepatofugal flow in the portal vein but no connection with the bile duct (Figure 4).
Viatorr pulled back to the right atrium, partly in the sheath.
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However, the entire Viatorr could be pulled back from the transhepatic tract to the right atrium (Figure 5).
Removed Viatorr.
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The sheath with the endoprosthesis was removed (Figure 6) and hemostasis was obtained with manual compression.