Document Detail

Emergency transjugular intrahepatic portosystemic shunt (TIPS): results, complications and predictors of mortality in the first month of follow-up.
MedLine Citation:
PMID:  21509549     Owner:  NLM     Status:  Publisher    
PURPOSE: We conducted a single-centre retrospective analysis of the results and predictors of early mortality in emergency transjugular intrahepatic portosystemic shunt (TIPS). MATERIALS AND METHODS: Between 1992 and 2009, 82 patients with refractory variceal bleeding underwent emergency TIPS at our Institution. The success and complications of the procedure were assessed for each patient. Child class, platelet count, prothrombin time, serum creatinine levels and venous pressure before and after TIPS were studied statistically as possible prognostic factors of early mortality. RESULTS: The technical, haemodynamic, and clinical success rates were 91.6%, 78% and 86.6%, respectively. Complications occurred in 21 cases (25.6%): eight were major (two stent migrations, one pulmonary embolism, one haemoperitoneum, one haemobilia, three intrahepatic haematomas) and 13 were minor (encephalopathy responsive to medical therapy). Twenty-one patients (25.6%) died due to the following causes: disseminated intravascular coagulation (DIC) (n=2), haemorrhage (n=8), cardiopulmonary failure (n=2) and liver failure (n=9). The predictors of mortality were Child's class C, high serum creatinine and prolonged prothrombin time. CONCLUSIONS: The technical success of TIPS may not lead to haemodynamic and clinical success. Complications are often due to impaired coagulation and inadequacy of the stent-graft. Early mortality is only influenced by pre-existing clinical and laboratory factors.
C Gazzera; D Righi; A Doriguzzi Breatta; D Rossato; F Camerano; F Valle; G Gandini
Related Documents :
21273919 - Epilepsy after bypass surgery in adult moyamoya disease.
21499919 - Emergency ureteroscopic lithotripsy in acute renal colic caused by ureteral calculi: a ...
15948749 - Evaluation of the role of varicocelectomy including external spermatic vein ligation in...
21438659 - Outcomes of 33 patients from the wars in iraq and afghanistan undergoing bilateral or b...
22154309 - Recovery of sensory disturbance after arthroscopic decompression of the suprascapular n...
18347889 - Staphylococcus aureus nasal decolonization in joint replacement surgery reduces infection.
2893529 - International beta-blocker review in acute and postmyocardial infarction.
17401759 - Exclusion of atherosclerotic plaque from the circulation using stent-grafts: alternativ...
22986859 - Efficacy of mohs micrographic surgery for the treatment of dermatofibrosarcoma protuber...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-19
Journal Detail:
Title:  La Radiologia medica     Volume:  -     ISSN:  1826-6983     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Istituto di Radiologia Diagnostica ed Interventistica, A.S.O. San Giovanni Battista, Via Genova 3, 10126, Torino, Italy,
Vernacular Title:
Il TIPS d'urgenza: risultati, complicanze e fattori prognostici di mortalità nel primo mese di follow-up.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Fetal MRI as a complement to US in the evaluation of cleft lip and palate.
Next Document:  Intra-arterial thrombolysis of acute hand ischaemia with or without microcatheter: preliminary exper...