Transjugular intrahepatic portosystemic shunt migration in patients undergoing liver transplantation

被引:0
作者
Khan, TT
Reddy, KS
Johnston, TD
Lo, FK
Shedlofsky, S
Grubb, S
Ranjan, D
机构
[1] Univ Kentucky, Med Ctr, Transplantat Ctr, Sect Transplantat,Dept Surg, Lexington, KY 40536 USA
[2] Univ Kentucky, Med Ctr, Dept Radiol, Lexington, KY 40536 USA
[3] Univ Kentucky, Med Ctr, Sect Transplantat, Dept Internal Med, Lexington, KY 40536 USA
关键词
portal hypertension; shunt; liver transplantation;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Transjugular intrahepatic portosystemic shunt (TIPS) is a useful procedure for patients with variceal bleeding and refractory ascites. Migration of TIPS can potentially complicate the subsequent transplant procedure. The aim of this study was to compare survival, operating time, and blood transfusion requirements in patients with migrated and non-migrated TIPS undergoing liver transplantation. Of 152 patients, 21 received TIPS; stent migration was noted in seven patients-six distally and one proximally. Mean age of the patients was 54 11 years (range, 27-65 years), and there were 12 men and 9 women. The etiology of liver disease included the following: hepatitis C virus, six patients; cryptogenic cirrhosis, seven patients; alcoholic cirrhosis, four patients; primary biliary cirrhosis, three patients; and autoimmune hepatitis, one patient. The mean Child-Pugh-Turcotte score was 10 +/- 2. Mean length of hospital stay for patients with migrated TIPS was 22.2 days and for nonmigrated TIPS was 23.5 days. Patient and graft survival (actual) was 81% in both groups with a mean follow-up of 27.9 months. Migration of TIPS is not rare, and in our study it did not affect survival, length of surgery, or blood transfusion requirements compared with patients in whom TIPS had not migrated.
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页码:279 / 281
页数:3
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