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Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation
INTRODUCTION: Direct intrahepatic portosystemic shunt creation is a feasible and safe alternative for transjugular intrahepatic portosystemic shunt creation. It needs equipment like endovascular ultrasound with restricted availability. We performed the procedure percutaneously with a common interven...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8918291/ https://www.ncbi.nlm.nih.gov/pubmed/35278149 http://dx.doi.org/10.1186/s42155-022-00292-4 |
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author | Mostafa, Karim Trentmann, Jens Andersson, Julian Günther, Rainer Braun, Felix Schäfer, Philipp Jost |
author_facet | Mostafa, Karim Trentmann, Jens Andersson, Julian Günther, Rainer Braun, Felix Schäfer, Philipp Jost |
author_sort | Mostafa, Karim |
collection | PubMed |
description | INTRODUCTION: Direct intrahepatic portosystemic shunt creation is a feasible and safe alternative for transjugular intrahepatic portosystemic shunt creation. It needs equipment like endovascular ultrasound with restricted availability. We performed the procedure percutaneously with a common interventional armamentarium to make it more feasible. METHODS: Retrospective analysis of 8 percutaneous DIPS insertions between 2016 and 2020. RESULTS: The procedure was successful in 8/8 patients. There was no short-term death reported within 30 days. The longest reported patency is 5 years. CONCLUSION: Percutaneous DIPS creation is a feasible alternative for failed TIPS. Percutaneously the procedure can be completed faster than conventional DIPS using only minimal puncture equipment. LEVEL OF EVIDENCE: Level 4, Case Series. |
format | Online Article Text |
id | pubmed-8918291 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-89182912022-03-25 Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation Mostafa, Karim Trentmann, Jens Andersson, Julian Günther, Rainer Braun, Felix Schäfer, Philipp Jost CVIR Endovasc Case Report INTRODUCTION: Direct intrahepatic portosystemic shunt creation is a feasible and safe alternative for transjugular intrahepatic portosystemic shunt creation. It needs equipment like endovascular ultrasound with restricted availability. We performed the procedure percutaneously with a common interventional armamentarium to make it more feasible. METHODS: Retrospective analysis of 8 percutaneous DIPS insertions between 2016 and 2020. RESULTS: The procedure was successful in 8/8 patients. There was no short-term death reported within 30 days. The longest reported patency is 5 years. CONCLUSION: Percutaneous DIPS creation is a feasible alternative for failed TIPS. Percutaneously the procedure can be completed faster than conventional DIPS using only minimal puncture equipment. LEVEL OF EVIDENCE: Level 4, Case Series. Springer International Publishing 2022-03-12 /pmc/articles/PMC8918291/ /pubmed/35278149 http://dx.doi.org/10.1186/s42155-022-00292-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Mostafa, Karim Trentmann, Jens Andersson, Julian Günther, Rainer Braun, Felix Schäfer, Philipp Jost Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation |
title | Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation |
title_full | Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation |
title_fullStr | Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation |
title_full_unstemmed | Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation |
title_short | Percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed TIPS creation |
title_sort | percutaneous creation of direct intrahepatic portosystemic shunts – an alternative for failed tips creation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8918291/ https://www.ncbi.nlm.nih.gov/pubmed/35278149 http://dx.doi.org/10.1186/s42155-022-00292-4 |
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