Causes of TIPS Dysfunction
| Autor: | Jorge E. Lopera, Alejandro Cura, Marco Cura, Fadi El-Merhi, G. Kroma, Rajeev Suri |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Hepatic Veno-Occlusive Disease Venography Wounds Penetrating Hypertension Portal Occlusion Ascites medicine Humans Radiology Nuclear Medicine and imaging medicine.diagnostic_test business.industry Interventional radiology General Medicine Middle Aged medicine.disease Shunt (medical) Surgery Portal hypertension Shunt patency Female Bile Ducts Radiology Portasystemic Shunt Transjugular Intrahepatic medicine.symptom Gastrointestinal Hemorrhage business Transjugular intrahepatic portosystemic shunt |
| Zdroj: | American Journal of Roentgenology. 191:1751-1757 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.07.3534 |
| Popis: | OBJECTIVE. Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective method to control portal hypertension. TIPS creations with bare stents have shown limited and unpredictable patency. In nearly all cases of rebleeding or recurrent ascites after TIPS creation, there is shunt stenosis or occlusion. The purpose of this article is to review the biologic and technical factors that predispose to TIPS failure and how the use of an expandable polytetrafluoroethylene (PTFE)-covered-stent has significantly improved TIPS patency.CONCLUSION. Biologic and technical factors may predispose to shunt failure. The combination of improved technique and expandable PTFE has significantly improved TIPS patency. The need for follow-up venography and secondary interventions has been reduced significantly as a result of improved shunt patency. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|