Parallel Shunt for the Treatment of Transjugular Intrahepatic Portosystemic Shunt Dysfunction.
10.3348/kjr.2013.14.3.423
- Author:
Xuefeng LUO
1
;
Ling NIE
;
Jiaywei TSAUO
;
Zhu WANG
;
Chengwei TANG
;
Xiao LI
Author Information
1. Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, China. simonlixiao@gmail.com
- Publication Type:Original Article ; Evaluation Studies ; Research Support, Non-U.S. Gov't
- Keywords:
Transjugular intrahepatic portosystemic shunt;
Parallel shunt;
Revision;
Stent-graft
- MeSH:
Adult;
Aged;
Blood Pressure Determination;
Female;
Humans;
Male;
Middle Aged;
Polytetrafluoroethylene;
Portasystemic Shunt, Transjugular Intrahepatic/adverse effects/*methods;
Prosthesis Design;
Reoperation/methods;
Retrospective Studies;
Stents
- From:Korean Journal of Radiology
2013;14(3):423-429
- CountryRepublic of Korea
- Language:English
-
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 AND METHODS: 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.
