Complications During Transjugular Intrahepatic Portosystemic Shunt Creation

被引：27

作者：

Shah, Rajesh P. ^{[1
]}

Sze, Daniel Y. ^{[1
]}

机构：

[1] Stanford Univ, Div Intervent Radiol, Stanford, CA 94305 USA

来源：

TECHNIQUES IN VASCULAR AND INTERVENTIONAL RADIOLOGY | 2016年 / 19卷 / 01期

关键词：

transjugular intrahepatic portosystemic shunt; TIPS; complications;

D O I：

10.1053/j.tvir.2016.01.007

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Transjugular intrahepatic portosystemic shunt (TIPS) creation is a widely adopted treatment for complications of portal hypertension, including variceal hemorrhage and refractory ascites. The creation of a TIPS requires establishing a pathway from the portal vein to a hepatic vein or inferior vena cava through hepatic parenchyma, using a stent or stent graft to sustain patency of this pathway. Because it is a technically challenging procedure and patients may be critically ill with severe comorbidities, the risk of procedural complications and mortality is substantial. This article discusses known complications of the TIPS procedure and ways to minimize their occurrence. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：61 / 73

页数：13

共 72 条

[1]

ACR, 2014, ACR COMM PRACT PAR

[2] MELD-Na as a prognostic indicator of 30-and 90-day mortality in patients with end-stage liver disease after creation of transjugular intrahepatic portosystemic shunt [J].

Ahmed, Rezwan ;

Santhanam, Prasanna ;

Rayyan, Yaser .

EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2015, 27 (10) :1226-1227

[3]

Barton RE, 2008, SEMIN INTERVENT RAD, V12, P364

[4] Rifaximin Treatment in Hepatic Encephalopathy [J].

Bass, Nathan M. ;

Mullen, Kevin D. ;

Sanyal, Arun ;

Poordad, Fred ;

Neff, Guy ;

Leevy, Carroll B. ;

Sigal, Samuel ;

Sheikh, Muhammad Y. ;

Beavers, Kimberly ;

Frederick, Todd ;

Teperman, Lewis ;

Hillebrand, Donald ;

Huang, Shirley ;

Merchant, Kunal ;

Shaw, Audrey ;

Bortey, Enoch ;

Forbes, William P. .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (12) :1071-1081

[5] Endotipsitis:: an emerging prosthetic-related infection in patients with portal hypertension [J].

Bouza, E ;

Muñoz, P ;

Rodríguez, C ;

Grill, F ;

Rodríguez-Créixems, M ;

Bañares, R ;

Fernández, J ;

García-Pagán, JC .

DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2004, 49 (02) :77-82

[6] Role of Transjugular Intrahepatic Portosystemic Shunt (TIPS) in the Management of Portal Hypertension: Update 2009 [J].

Boyer, Thomas D. ;

Haskal, Ziv J. .

HEPATOLOGY, 2010, 51 (01) :306-306

[7] Long term outcome after transjugular intrahepatic portosystemic stent-shunt in non-transplant cirrhotics with hepatorenal syndrome: a phase II study [J].

Brensing, KA ;

Textor, J ;

Perz, J ;

Schiedermaier, P ;

Raab, P ;

Strunk, H ;

Klehr, HU ;

Kramer, HJ ;

Spengler, U ;

Schild, H ;

Sauerbruch, T .

GUT, 2000, 47 (02) :288-295

[8] Patency of stents covered with polytetrafluoroethylene in patients treated by transjugular intrahepatic portosystemic shunts: long-term results of a randomized multicentre study [J].

Bureau, Christophe ;

Garcia Pagan, Juan Carlos ;

Layrargues, Gilles Pomier ;

Metivier, Sophie ;

Bellot, Pablo ;

Perreault, Pierre ;

Otal, Philippe ;

Abraldes, Juan-G ;

Peron, Jean Marie ;

Rousseau, Herve ;

Bosch, Jaume ;

Vinel, Jean Pierre .

LIVER INTERNATIONAL, 2007, 27 (06) :742-747

[9] Recurrent Variceal Bleeding and Shunt Patency: Prospective Randomized Controlled Trial of Transjugular Intrahepatic Portosystemic Shunt Alone or Combined with Coronary Vein Embolization [J].

Chen, Shuang ;

Li, Xiao ;

Wei, Bo ;

Tong, Huan ;

Zhang, Ming-Guang ;

Huang, Zhi-Yin ;

Cao, Jia-Wei ;

Tang, Cheng-Wei .

RADIOLOGY, 2013, 268 (03) :900-906

[10] The effect of initial shunt outflow position on patency of transjugular intrahepatic portosystemic shunts [J].

Clark, TWI ;

Agarwal, R ;

Haskal, ZJ ;

Stavropoulos, SW .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2004, 15 (02) :147-152

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