Transjugular intrahepatic portosystemic shunt by direct transcaval approach: Indications and anatomic foundation
- VernacularTitle:经肝段下腔静脉入路经颈静脉肝内门体分流术的适应证及解剖基础
- Author:
Jianguo CHU
;
Xiaoli SUN
;
He HUANG
- Publication Type:Journal Article
- Keywords:
Transcaval;
Portal hypertension;
Interventional procedures;
Portosystemic shunt
- From:
Journal of Interventional Radiology
1992;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate into the indications and related anatomic foundation of transjugular intrahepatic portosystemic shunt(TIPS) creation by direct transcaval approach in patients with portal hypertension cirrhosis suffering unusual anatomy between the hepatic veins and portal bifurcation; and to evaluate the security, feasibility and clinical significance. Methods Direct transcaval approach TIPS were performed in 65 patients including active variceal bleeding (n=52), intractable ascites (n=12), and as a bridge to liver transplantation (n=1). Results Technical and functional success were achieved in all patients. The success rate was 100% without related complications including the technique and primary patency rate is obvious higher than classical TIPS. Conclusion In patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins, transcaval TIPS creation is secure and feasible. The results suggest that the direct transcaval approach offering favorable primary patency because the shunt has a straight line in construction.
