Parallel Shunt for the Treatment of Transjugular Intrahepatic Portosystemic Shunt Dysfunction
Korean Journal of Radiology
; : 423-429, 2013.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-218258
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
To investigate the safety, efficacy and long-term patency of parallel shunts (PS) in the management of the transjugular intrahepatic portosystemic shunt (TIPS) dysfunction. MATERIALS ANDMETHODS:
Between March 2007 and October 2010, 18 patients (13 men and 5 women) who underwent TIPS revision with the creation of PS were evaluated retrospectively. In the first 10 patients, a 10-mm-diameter Wallgraft endoprosthesis was deployed; in the latter 8 patients, an 8-mm-diameter Fluency endoprosthesis was deployed.RESULTS:
The creation of PS was technically successful in all patients. The mean +/- standard deviation portosystemic pressure gradient before and after the procedure was 25.5 +/- 7.3 mm Hg (range, 16-37 mm Hg) and 10.9 +/- 2.3 mm Hg (range, 7-16 mm Hg), respectively. The duration of follow-up was 16.7 +/- 10.8 months (range, 6-42 months). The primary shunt patency rates at 12 months after the creation of PS was 70% with Wallgraft endoprostheses and 87.5% with Fluency endoprostheses.CONCLUSION:
TIPS revision with the creation of PS is a safe, effective and durable method for treating shunt dysfunction.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Polytetrafluoroethylene
/
Prosthesis Design
/
Reoperation
/
Blood Pressure Determination
/
Stents
/
Retrospective Studies
/
Portasystemic Shunt, Transjugular Intrahepatic
Type of study:
Observational study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Radiology
Year:
2013
Document type:
Article