Evaluation of the efficacy of TIPS in 27 patients with hepatic sinus obstruction syndrome in the near and medium term
10.3760/cma.j.cn501113-20221012-00493
- VernacularTitle:TIPS治疗27例肝窦阻塞综合征患者近、中期疗效评价
- Author:
Lei WANG
1
;
Yu ZHANG
;
Xiuqi WANG
;
Zhendong YUE
;
Zhenhua FAN
;
Yifan WU
;
Fuquan LIU
;
Jian DONG
;
Ke ZHANG
;
Li JIANG
;
Huiguo DING
;
Yuening ZHANG
Author Information
1. 首都医科大学附属北京世纪坛医院介入治疗科，北京 100038
- Keywords:
Hepatic sinusoidal obstruction syndrome;
Transjugular intrahepatic;
portosystemic stent shunt;
Portol hypertension;
Therapy;
Therapy effectiveness
- From:
Chinese Journal of Hepatology
2023;31(8):842-846
- CountryChina
- Language:Chinese
-
Abstract:
Objective:intrahepatic portocaval shunt (TIPS) in the treatment of hepatic sinusoidal obstruction syndrome (HSOS).Methods:A retrospective analysis was performed on 27 patients with HSOS who were treated with TIPS in our center from July 2018 to July 2020. The changes of portal vein pressure (PVP), portal vein pressure gradient (PPG) and liver function were observed, so as to evaluate the efficacy. Paired t test was adopted to evaluate the quantitative parameters, while χ2 test was used to analyze qualitative parameters, with P < 0.05 as statistical difference. Results:PVP decreased from (4.41 ± 0.18) kPa before shunt to (2.69 ± 0.11) kPa after shunt ( t = 82.41, P < 0.001), PPG decreased from (3.23 ± 0.18) kPa before shunt to (1.46 ± 0.23) kPa after shunt ( t = 32.41, P < 0.001). The liver function improved significantly after operation. After 24 months of follow-up, 3 patients developed stent restenosis and recanalized after balloon dilation. Three patients developed hepatic encephalopathy, which was improved after drug treatment. One patient underwent liver transplantation due to liver failure. Conclusion:TIPS is effective in the treatment of HSOS in the short and medium term, and can provide time for liver transplantation patients to wait for liver source.
