Primary Creation of an Externally Constrained TIPS: A Technique to Control Reduction of the Portosystemic Gradient

被引：10
作者：
Farsad, Khashayar [1 ]
Kolbeck, Kenneth J. [1 ]
Keller, Frederick S. [1 ]
Barton, Robert E. [1 ]
Kaufman, John A. [1 ]
机构：
[1] Oregon Hlth & Sci Univ, Dotter Intervent Inst, Portland, OR 97239 USA
来源：
AMERICAN JOURNAL OF ROENTGENOLOGY | 2015年 / 204卷 / 04期
关键词：
hepatic encephalopathy; stent-graft; TIPS; TIPS reduction; transjugular intrahepatic portosystemic shunt; REFRACTORY HEPATIC-ENCEPHALOPATHY; STENT-GRAFT; SHUNT REDUCTION; MANAGEMENT;
D O I：
10.2214/AJR.14.13104
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：
OBJECTIVE. Transjugular intrahepatic portosystemic shunt (TIPS) creation increases the risk of hepatic encephalopathy due to overshunting. Techniques exist to secondarily reduce the shunt for refractory encephalopathy. The purpose of this article is to describe a technique for primary TIPS restriction using a balloon-expandable stent within the transvenous hepatic track followed by deployment of a self-expanding polytetrafluoroethylene-lined stent-graft within the balloon-expandable stent to create the TIPS. CONCLUSION. This technique enables control over the degree of portosystemic shunting in elective TIPS creation.
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收藏
页码：868 / 869
页数：2
相关论文
共 8 条
  • [1] Role of Transjugular Intrahepatic Portosystemic Shunt (TIPS) in the Management of Portal Hypertension: Update 2009
    Boyer, Thomas D.
    Haskal, Ziv J.
    [J]. HEPATOLOGY, 2010, 51 (01) : 306 - 306
  • [2] Hepatology - Portosystemic pressure gradient during transjugular intrahepatic portosystemic shunt with Viatorr stent graft: What is the critical low threshold to avoid medically uncontrolled low pressure gradient related complications?
    Chung, Hwan-Hoon
    Razavi, Mahmood K.
    Sze, Daniel Y.
    Frisoli, Joan K.
    Kee, Stephen T.
    Dake, Michael D.
    Hellinger, Jeffrey C.
    Kang, Byung-Chul
    [J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2008, 23 (01) : 95 - 101
  • [3] Management of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-associated Refractory Hepatic Encephalopathy by Shunt Reduction Using the Parallel Technique: Outcomes of a Retrospective Case Series
    Cookson, Daniel T.
    Zaman, Zubayr
    Gordon-Smith, James
    Ireland, Hamish M.
    Hayes, Peter C.
    [J]. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2011, 34 (01) : 92 - 99
  • [4] Management of Refractory Hepatic Encephalopathy After Insertion of TIPS: Long-Term Results of Shunt Reduction With Hourglass-Shaped Balloon-Expandable Stent-Graft
    Fanelli, Fabrizio
    Salvatori, Filippo Maria
    Rabuffi, Paolo
    Boatta, Emanuele
    Riggio, Oliviero
    Lucatelli, Pierleone
    Passariello, Roberto
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (06) : 1696 - 1702
  • [5] Madoff David C, 2005, Semin Intervent Radiol, V22, P316, DOI 10.1055/s-2005-925558
  • [6] Stent-graft Narrowed with a Lasso Catheter: An Adjustable TIPS Reduction Technique
    Monnin-Bares, Valerie
    Thony, Frederic
    Sengel, Christian
    Bricault, Ivan
    Leroy, Vincent
    Ferretti, Gilbert
    [J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2010, 21 (02) : 275 - 280
  • [7] Simple Technique for Transjugular Intrahepatic Portosystemic Shunt Reduction Using a Flared Stent Graft
    Nwawka, O. Kenechi
    Bathala, Tharakeswara
    Kabutey, Nii-Kabu
    Kim, Ducksoo
    [J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2012, 23 (09) : 1251 - 1253
  • [8] A novel endovascular adjustable polytetrafluoroethylene-covered stent for the management of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt
    Weintraub, Joshua L.
    Mobley, David G.
    Weiss, Michael E.
    Swanson, Eli
    Kothary, Nishita
    [J]. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2007, 18 (04) : 563 - 566
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