Transjugular Intrahepatic Portosystemic Shunt for the Treatment of Portal Hypertension in Noncirrhotic Patients with Portal Cavernoma

Autor: Xuefeng Luo, Ling Nie, Biao Zhou, Denghua Yao, Huaiyuan Ma, Mingshan Jiang, Hailong Zhang, Xiao Li
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Gastroenterology Research and Practice, Vol 2014 (2014)
Druh dokumentu: article
ISSN: 1687-6121
1687-630X
DOI: 10.1155/2014/659726
Popis: Background. The purpose of this study was to evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) placement in the management of portal hypertension in noncirrhotic patients with portal cavernoma. Methods. We conducted a single institution retrospective analysis of 15 noncirrhotic patients with portal cavernoma treated with TIPS placement. 15 patients (4 women and 11 men) were evaluated via the technical success of TIPS placement, procedural complications, and follow-up shunt patency. Results. TIPS placement was technically successful in 11 out of 15 patients (73.3%). Procedure-related complications were limited to a single instance of hepatic encephalopathy in one patient. In patients with successful shunt placement, the portal pressure gradient decreased from 25.8±5.7 to 9.5±4.2 mmHg (P
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