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Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results
OBJECTIVE: To determine the feasibility of transcaval transjugular intrahepatic portosystemic shunt (TIPS) creation in patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins. MATERIALS AND METHODS: Transcaval TIPS, performed in si...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Radiological Society
2003
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2698056/ https://www.ncbi.nlm.nih.gov/pubmed/12679632 http://dx.doi.org/10.3348/kjr.2003.4.1.35 |
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author | Lee, Kwang-Hun Lee, Do-Yun Won, Jong Yoon Park, Sang Joon Kim, Jae Kyu Yoon, Woong |
author_facet | Lee, Kwang-Hun Lee, Do-Yun Won, Jong Yoon Park, Sang Joon Kim, Jae Kyu Yoon, Woong |
author_sort | Lee, Kwang-Hun |
collection | PubMed |
description | OBJECTIVE: To determine the feasibility of transcaval transjugular intrahepatic portosystemic shunt (TIPS) creation in patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins. MATERIALS AND METHODS: Transcaval TIPS, performed in six patients, was indicated by active variceal bleeding (n=2), recurrent variceal bleeding (n=2), intractable ascites (n=1), and as a bridge to liver transplantation (n=1). The main reasons for transcaval rather than classic TIPS were the presence of an unusually acute angle between the hepatic veins and the level of the portal bifurcation (n=3), hepatic venous occlusion (n=2), and inadequate small hepatic veins (n=1). RESULTS: Technical and functional success was achieved in all patients. The entry site into liver parenchyma from the inferior vena cava was within 2 cm of the atriocaval junction. Procedure-related complications included the death of one patient due to hemoperitoneum despite the absence of contrast media spillage at tractography, and another suffered reversible hepatic encephalopathy. CONCLUSION: In patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins, transcaval TIPS creation is feasible. |
format | Text |
id | pubmed-2698056 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2003 |
publisher | The Korean Radiological Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-26980562009-06-23 Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results Lee, Kwang-Hun Lee, Do-Yun Won, Jong Yoon Park, Sang Joon Kim, Jae Kyu Yoon, Woong Korean J Radiol Original Article OBJECTIVE: To determine the feasibility of transcaval transjugular intrahepatic portosystemic shunt (TIPS) creation in patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins. MATERIALS AND METHODS: Transcaval TIPS, performed in six patients, was indicated by active variceal bleeding (n=2), recurrent variceal bleeding (n=2), intractable ascites (n=1), and as a bridge to liver transplantation (n=1). The main reasons for transcaval rather than classic TIPS were the presence of an unusually acute angle between the hepatic veins and the level of the portal bifurcation (n=3), hepatic venous occlusion (n=2), and inadequate small hepatic veins (n=1). RESULTS: Technical and functional success was achieved in all patients. The entry site into liver parenchyma from the inferior vena cava was within 2 cm of the atriocaval junction. Procedure-related complications included the death of one patient due to hemoperitoneum despite the absence of contrast media spillage at tractography, and another suffered reversible hepatic encephalopathy. CONCLUSION: In patients with unusual anatomy between the hepatic veins and portal bifurcation, and inaccessible or inadequate hepatic veins, transcaval TIPS creation is feasible. The Korean Radiological Society 2003 2003-03-31 /pmc/articles/PMC2698056/ /pubmed/12679632 http://dx.doi.org/10.3348/kjr.2003.4.1.35 Text en Copyright © 2003 The Korean Radiological Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Kwang-Hun Lee, Do-Yun Won, Jong Yoon Park, Sang Joon Kim, Jae Kyu Yoon, Woong Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results |
title | Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results |
title_full | Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results |
title_fullStr | Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results |
title_full_unstemmed | Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results |
title_short | Transcaval Transjugular Intrahepatic Portosystemic Shunt: Preliminary Clinical Results |
title_sort | transcaval transjugular intrahepatic portosystemic shunt: preliminary clinical results |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2698056/ https://www.ncbi.nlm.nih.gov/pubmed/12679632 http://dx.doi.org/10.3348/kjr.2003.4.1.35 |
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