CURRENT STATUS AND FUTURE POSSIBILITIES OF TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTS IN THE MANAGEMENT OF PORTAL-HYPERTENSION

被引:10
作者
RADOSEVICH, PM [1 ]
LABERGE, JM [1 ]
GORDON, RL [1 ]
机构
[1] UNIV CALIF SAN FRANCISCO,DEPT RADIOL,SAN FRANCISCO,CA 94143
关键词
D O I
10.1007/BF00298933
中图分类号
R61 [外科手术学];
学科分类号
摘要
Transjugular intrahepatic portosystemic shunt (TIPS) is an exciting new method for treating complications of cirrhosis. Technical advances have allowed TIPS to be widely applied in the treatment of variceal bleeding. This article presents and discusses the results of recent experiences in TIPS placement. TIPS can be successfully placed in almost all patients. The complication rate of the procedure is low. TIPS is an effective means of controlling variceal bleeding and is especially useful for controlling bleeding in patients awaiting liver transplantation. It may also have a role in the treatment of ascites and other conditions related to portal hypertension. The most important issue facing TIPS is the long-term patency of the shunt. Potential solutions to the problem of long-term shunt patency are discussed.
引用
收藏
页码:785 / 789
页数:5
相关论文
共 27 条
[1]  
Cekirge S, 1993, J Vasc Interv Radiol, V4, P559, DOI 10.1016/S1051-0443(93)71921-1
[2]   ENDOSCOPIC SCLEROTHERAPY VERSUS PORTACAVAL-SHUNT IN PATIENTS WITH SEVERE CIRRHOSIS AND VARICEAL HEMORRHAGE [J].
CELLO, JP ;
GRENDELL, JH ;
CRASS, RA ;
TRUNKEY, DD ;
COBB, EE ;
HEILBRON, DC .
NEW ENGLAND JOURNAL OF MEDICINE, 1984, 311 (25) :1589-1594
[3]  
Cohen G S, 1993, J Vasc Interv Radiol, V4, P561, DOI 10.1016/S1051-0443(93)71922-3
[4]   FORMATION OF INTRAHEPATIC PORTOSYSTEMIC SHUNTS USING A BALLOON DILATATION CATHETER - PRELIMINARY CLINICAL-EXPERIENCE [J].
COLAPINTO, RF ;
STRONELL, RD ;
GILDINER, M ;
RITCHIE, AC ;
LANGER, B ;
TAYLOR, BR ;
BLENDIS, LM .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1983, 140 (04) :709-714
[5]  
Gordon R L, 1993, J Vasc Interv Radiol, V4, P441, DOI 10.1016/S1051-0443(93)71896-5
[6]   PRODUCTION OF NON-SURGICAL PORTOSYSTEMIC VENOUS SHUNTS IN DOGS BY TRANSJUGULAR APPROACH [J].
GUTIERREZ, OH ;
BURGENER, FA .
RADIOLOGY, 1979, 130 (02) :507-509
[7]   HEPATIC ARTERIAL INJURY AFTER TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT PLACEMENT - REPORT OF 2 CASES [J].
HASKAL, ZJ ;
PENTECOST, MJ ;
RUBIN, RA .
RADIOLOGY, 1993, 188 (01) :85-88
[8]   ROLE OF PARALLEL TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTS IN PATIENTS WITH PERSISTENT PORTAL-HYPERTENSION [J].
HASKAL, ZJ ;
RING, EJ ;
LABERGE, JM ;
PELTZER, MY ;
RADOSEVICH, PM ;
DOHERTY, MM ;
GORDON, RL .
RADIOLOGY, 1992, 185 (03) :813-817
[9]   SURGICAL OPTIONS, HEMATOLOGIC EVALUATION, AND PATHOLOGICAL-CHANGES IN BUDD-CHIARI SYNDROME [J].
HENDERSON, JM ;
WARREN, WD ;
MILLIKAN, WJ ;
GALLOWAY, JR ;
KAWASAKI, S ;
STAHL, RL ;
HERTZLER, G .
AMERICAN JOURNAL OF SURGERY, 1990, 159 (01) :41-50
[10]  
LaBerge J M, 1991, J Vasc Interv Radiol, V2, P549, DOI 10.1016/S1051-0443(91)72241-0