Viatorr stent applicated in TIPS for treating primary hepatic carcinoma complicated with liver cirrhosis and upper gastrointestinal hemorrhage
10.13929/j.issn.1672-8475.2023.12.002
- VernacularTitle:Viatorr支架用于TIPS治疗原发性肝癌合并肝硬化上消化道出血
- Author:
Liming CAO
1
;
Yongxue ZHANG
;
Zhihui LIANG
;
Liang LI
;
Wei ZHOU
;
Nawei GENG
Author Information
1. 中国人民解放军联勤保障部队第九八〇医院(白求恩国际和平医院)介入治疗科,河北 石家庄 050082
- Keywords:
carcinoma,hepatocellular;
liver cirrhosis;
hemorrhage;
portasystemic shunt,transjugular intrahepatic;
stents
- From:
Chinese Journal of Interventional Imaging and Therapy
2023;20(12):709-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effectiveness and safety of Viatorr stent applicated in TIPS for treating primary hepatic carcinoma(PHC)complicated with liver cirrhosis and upper gastrointestinal hemorrhage.Methods Date of 20 PHC patients complicated with liver cirrhosis and upper gastrointestinal hemorrhage who underwent TIPS using Viatorr stent were retrospectively analyzed.The technical success rate of TIPS,clinical success rate,complications,recurrence of upper gastrointestinal hemorrhage and the patency of stent shunt 1,3,6 and 12 months after TIPS were recorded.Results TIPS was successfully completed in all 20 cases,and the technical success rate was 100%.The portal venous pressure was(37.58±7.26)mmHg before TIPS and(18.35±6.47)mmHg after TIPS,and the difference was significant(P＜0.05).No active bleeding nor declined hemoglobin was found within 72 h after TIPS,and the clinical success rate was 100%(20/20).No severe complication such as intraperitoneal hemorrhage,hemorrhage caused by hepatic carcinoma rupture nor bile leakage occurred.During the follow-up period,hepatic encephalopathy occurred in 4 cases(4/20,20.00%)but alleviated after symptomatic treatments.Recurrence of upper gastrointestinal hemorrhage was noticed in 2 cases(2/20,10.00%),while 6 patients died(6/20,30.00%).One,3,6 and 12 months after TIPS,the patency of stent shunt was 100%(20/20),100%(20/20),100%(20/20)and 95.00%(19/20),respectively.Conclusion Viatorr stent applicated in TIPS was effective and safe for treating PHC complicated with liver cirrhosis and upper gastrointestinal hemorrhage.
