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2008 ICD-9-CM Procedure 39.1 Intra-abdominal venous shunt A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform. (JAMA 1995;273(23):1824-30) Anastomosis of splenic vein to renal vein to relieve portal hypertension. Surgical portasystemic shunt between the portal vein and inferior vena cava. 39.1 is a specific code that can be used to specify a procedure 39.1 contains 29 index entries View the full ICD-9-CM Volume 3 39.* hierarchy 39.1 also known as: Anastomosis: mesocaval portacaval portal vein to inferior vena cava splenic and renal veins transjugular intrahepatic portosystemic shunt (TIPS) 39.1 excludes: peritoneovenous shunt (54.94) Index entries containing 39.1: Anastomosis caval-mesenteric vein 39.1 inferior vena cava and portal vein 39.1 mesenteric-caval 39.1 mesocaval 39.1 portacaval 39.1 portal vein to inferior vena cava 39.1 renal (pelvis) 55.86 vein and splenic vein 39.1 renoportal 39.1 splenic to renal veins 39.1 splenorenal (venous) 39.1 arterial 39.26 veins (suture of proximal to distal end) (with bypass graft) 39.29 mesenteric to vena cava 39.1 portal to inferior vena cava 39.1 splenic and renal 39.1 Bypass vascular (arterial) (graft) (mandril grown graft) (vein graft) NEC 39.29 intra-abdominal (arterial) NEC 39.26 venous NEC 39.1 splenorenal (venous) 39.1 Cannulation -- see also Insertion, catheter caval-mesenteric vein 39.1 renoportal 39.1 splenorenal (venous) 39.1 arterial 39.26 Formation shunt transjugular intrahepatic portosystemic (TIPS) 39.1 Shunt -- see also Anastomosis and Bypass, vascular caval-mesenteric 39.1 lienorenal 39.1 mesocaval 39.1 portacaval (double) 39.1 portal-systemic 39.1 portal vein to vena cava 39.1 renoportal 39.1 splenorenal (venous) 39.1 arterial 39.26 superior mesenteric-caval 39.1 transjugular intrahepatic portosystemic [TIPS] 39.1