Document Detail


Stent-graft narrowed with a lasso catheter: an adjustable TIPS reduction technique.
MedLine Citation:
PMID:  20123211     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors describe an endovascular technique to reduce shunt diameter in the management of transjugular intrahepatic portosystemic shunt (TIPS)-induced refractory hepatic encephalopathy. Five patients were treated with a constrained stent-graft by using a commercially available balloon-expandable stent-graft narrowed by using a lasso catheter. This offers the possibility of an adjustable reduction of the shunt diameter. All procedures were technically successful, resulting in a significant increase in the portosystemic gradient and reopacification of the intrahepatic portal vein branches, findings that correlated with clinical improvement. This technique provides the ability to titrate the portosystemic gradient to the desired endpoint during shunt reduction.
Authors:
Val?rie Monnin-Bares; Fr?d?ric Thony; Christian Sengel; Ivan Bricault; Vincent Leroy; Gilbert Ferretti
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  275-80     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 SIR. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Radiology, Chu A. Michallon, Grenoble University 1, La Tronche, BP 217, Grenoble 38043, France. val_monnin@yahoo.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography, Digital Subtraction
Balloon Dilatation*
Catheterization / instrumentation*
Female
Hepatic Encephalopathy / etiology,  mortality,  physiopathology,  radiography,  therapy*
Humans
Male
Middle Aged
Phlebography
Portal Pressure
Portasystemic Shunt, Transjugular Intrahepatic / adverse effects,  instrumentation*,  mortality
Portography
Prosthesis Design
Retrospective Studies
Stents*
Time Factors
Treatment Outcome

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


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