Document Detail


Causes of TIPS dysfunction.
MedLine Citation:
PMID:  19020247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective method to control portal hypertension. TIPS creations with bare stents have shown limited and unpredictable patency. In nearly all cases of rebleeding or recurrent ascites after TIPS creation, there is shunt stenosis or occlusion. The purpose of this article is to review the biologic and technical factors that predispose to TIPS failure and how the use of an expandable polytetrafluoroethylene (PTFE)-covered-stent has significantly improved TIPS patency.
CONCLUSION: Biologic and technical factors may predispose to shunt failure. The combination of improved technique and expandable PTFE has significantly improved TIPS patency. The need for follow-up venography and secondary interventions has been reduced significantly as a result of improved shunt patency.
Authors:
Marco Cura; Alejandro Cura; Rajeev Suri; Fadi El-Merhi; Jorge Lopera; Ghazwan Kroma
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  191     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-01-06     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1751-7     Citation Subset:  AIM; IM    
Affiliation:
Cardiovascular and Special Interventions, Department of Radiology, The University of Texas Health Science Center, Mail Code 7800, 7703 Floyd Curl Dr, San Antonio, TX 78229-3900, USA. curam@uthscsa.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Ascites / diagnosis,  etiology*
Bile Ducts / injuries*
Female
Gastrointestinal Hemorrhage / etiology*
Hepatic Veno-Occlusive Disease / diagnosis,  etiology*
Humans
Hypertension, Portal / complications,  surgery*
Male
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic / adverse effects*
Wounds, Penetrating / diagnosis,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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