Implantability, Complications, and Follow-Up After Transjugular Intrahepatic Portosystemic Stent-Shunt Creation With the 6F Self-Expanding Sinus-SuperFlex-Visual Stent
Author(s):
Abstract:
Background
The transjugular intrahepatic portosystemic stent-shunt (TIPSS) builds a shortcut between the portal vein and a liver vein, and represents a sophisticated alternative to open surgery in the management of portal hypertension or its complications..Objectives
To describe clinical experiences with a low-profile nitinol stent system in TIPSS creation, and to assess primary and long-term success..Patients and
Methods
Twenty-six patients (5 females, 21 males; mean age 54.6 years) were treated using a low-profile 6F self-expanding sinus-SuperFlex-Visual stent system. The indication for TIPSS creation was refractory bleeding in 9 of the 26 patients, refractory ascites in 18 patients, and acute thrombosis of the portal vein confluence in one patient. Portosystemic pressure gradients before and after TIPSS, periprocedural and long-term complications, and the time to orthotopic liver transplantation (OLT) or death were recorded..Results
The portosystemic pressure gradient was significantly reduced, from 20.9 ± 6.3 mmHg before to 8.2 ± 2.3 mmHg after TIPSS creation (P Conclusion
The sinus-SuperFlex-Visual stent system can be safely deployed as a TIPSS device. The pressure gradient reduction was clinically sufficient to treat the patients symptoms, and periprocedural complications were due to the TIPSS procedure per se rather than to the particular stent system employed in this study..Keywords:
TIPSS , Self , Expandable Stent , Low , Profile Stent System
Language:
English
Published:
Iranian Journal of Radiology, Volume:13 Issue: 3, Jul 2016
Page:
5
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