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AVP Preloading coil-in-plug method (p-CIP) Embolization Portosystemic shunt Hepatic encephalopathy a b s t r a c t Hepatic encephalopathy caused by a large portosystemic shunt (PSS) can be treated by endovascular embolization of the shunt. The PSS diameter can be > 20 mm; it occasionally poses technical difficulties. Here, a 72-year-old woman with liver cirrhosis, hyperammonemia, and large spleno-renal shunt underwent shunt embolization using an Amplatzer vascular plug 2 (AVP2) and metallicdoi:10.1016/j.radcr.2021.06.075 fatcat:6toibzrc4rberd7erpfn6ic5wq