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Selected Publication:
Hausegger, KA; Klein, GE; Flückiger, F; Sternthal, MH; Wilding, R; Stauber, R.
Clinical experiences with the transjugular intrahepatic portocaval shunt (TIPS)
FORTSCHR RONTGENSTRAHL NEUEN. 1993; 159(3): 229-235.
Doi: 10.1055/s-2008-1032755
Web of Science
PubMed
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- Leading authors Med Uni Graz
- Hausegger Klaus
- Co-authors Med Uni Graz
- Klein Guenther
- Stauber Rudolf
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- Abstract:
- Twenty-five patients with liver cirrhosis and portal hypertension were admitted for creation of a transjugular intrahepatic portosystemic shunt (TIPS). The procedure was successful in 22 patients (technical success 88%). The mean portal pressure gradient was lowered from 24.5 mmHg before to 11.4 mmHg after TIPS. Two early and three late occlusions were observed (primary patency rate 78%). The rate of secondary interventions was 41%. Five times a hepatic vein stenosis was dilated and stented, two times an occluded shunt was recanalized, two times a new shunt was created parallel to an occluded (secondary patency rate within a maximum of 16 months 95%). In two patients sepsis occurred which was effectively treated with antibiotics, two patients died shortly after TIPS due to hepatorenal syndrome and hepatic failure, respectively. There was no recurrent bleeding. Two patients developed hepatic encephalopathy; both improved after protein restriction. The authors conclude that TIPS is an alternative procedure to shunt surgery, especially for patients who cannot benefit from sclerotherapy.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Female -
- Humans -
- Hypertension, Portal - surgery
- Liver Cirrhosis - surgery
- Male - surgery
- Middle Aged - surgery
- Pilot Projects - surgery
- Portasystemic Shunt, Surgical - surgery
- Find related publications in this database (Keywords)
- Liver Cirrhosis
- Portal Hypertension
- Transjugular Intrahepatic Portosystemic Shunt
- Hemodynamics