Fig. 1

a Contrast-enhanced computed tomography in emergency in a cirrhotic patient with haematemesis shows an occluded transjugular intrahepatic portosystemic shunt (TIPS) (white arrow). b Portography after TIPS recanalisation shows large gastric varices (white arrows). c Embolisation with an ethylene-vinyl alcohol (EVOH) liquid embolic agent (white arrow) and detachable coils of the gastric varices through a coaxial microcatheter. A Blakemore tube with inflated balloon in the stomach is evident (black arrows). d After gastric varices embolisation in the projective correspondence of the Blakemore tube (black arrows), also oesophageal varices were embolised with liquid embolic agent (white arrow) and detachable coils. e After gastroesophageal varices embolisation and an overlapped second stent placement, TIPS recanalisation was completed with high-pressure balloon angioplasty. f Final portography shows a quick opacification of the TIPS and the right atrium as good function of the portosystemic shunt without more evidence of the gastroesophageal varices