Transjugular intrahepatic portasystemic shunt with Viatorr covered stent
10.13929/j.1672-8475.201706006
- VernacularTitle:采用Viatorr覆膜支架行经颈静脉肝内门体分流术
- Author:
Hui ZHENG
1
;
Quan SHEN
;
Weizhu YANG
;
Ning HUANG
;
Jingyao HUANG
;
Qubin ZHENG
;
Na JIANG
;
Zhengzhong WU
;
Kun KE
Author Information
1. 福建医科大学附属协和医院介入科
- Keywords:
Viatorr stent;
Portasystemic shunt,transjugular intrahepatic;
Hypertension,portal
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(10):597-601
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy and safety of transjugular intrahepatic portasystemic shunt (TIPS) with Viatorr covered stent in patients with portal hypertension-related complications.Methods Clinical data of 8 patients with por-tal hypertension-related complications were analyzed retrospectively.All the cases received TIPS with Viatorr covered stent.After the operation,the followed up was used to evaluate the therapeutic effect of TIPS by enhanced CT scan.Results All the operations of TIPS were technically successful.And all the cases were treated with Viatorr covered stents with diameter of 8 mm and covered segment length of 50-80 mm.For 1 case with cavernous transformation of portal vein,a 8 mm×40 mm E-Luminexx bare stent was implanted in the portal vein side.For 1 case with hepatic vein stenosis,a 8 mm× 40 mm Fluency covered stent was implanted in the hepatic vein side.After the operation,the portal pressure reduced from (33.08 [29.32,40.22])mmHg (preoperative) to (23.31 [21.43,26.51])mmHg (postoperative) with statistical difference (Z=-2.52,P=0.012).The patients were followed up for 1.1-7.7 months,and all the patients were alive without complications of portal hypertension.There were 2 cases with mild hepatic encephalopathy after operation.During the reexamination time of 1-7.7 months,all TIPS shunts remained patency.Conclusion TIPS with Viatorr stent is a safe and effective treatment for patients with portal hypertension-related complications.
