A Preliminary Clinical Experience on Transjugular Intrahepatic Portosystemic Shunt (TIPS)
- VernacularTitle:经颈静脉肝内门体分流术的初步临床体会
- Author:
Xianglong HUANG
- Publication Type:Journal Article
- Keywords:
Portosystemic shunt therapy;
Liver cirrhosis;
Stent
- From:
Journal of Interventional Radiology
1994;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Transjugular intrahepatic portosystemic shunts (TIPS) were done on 5 patients between November 1993 and April 1994 for treatment of variceal bleeding. The pro- cedure was succeeded in 4 but failed in 1. Portal vein pressure was reduced from 35.5?3.3 cm. H_2O to 24.3?4.5cm. H_2O and Portosystemic venogradient dropped to 8.4?0.7cm. H_2O right after TIPS. Variceal bleeding recurred in 1 case due to shunt stenosis. Patency was reestablished by placement of another Wallstent in the pre-existed Z-stent canalization. Post- procedural transient hepatoencephalopathy developed in the another and was easily managed by medical therapy. Postprocedural Barium meal study one month later showed alleviation of all the esophageal varices. The authors concluded that TIPS creation is an effective and reliable means of lowering portal vein pressure. And the Wallstent may have the further capability to prevent the postprocedural shunt stenosis.
