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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...

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Autores principales: Mostafa, Karim, Trentmann, Jens, Andersson, Julian, Günther, Rainer, Braun, Felix, Schäfer, Philipp Jost
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
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.
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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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