Document Detail


Technical advances in transjugular intrahepatic portosystemic shunts.
MedLine Citation:
PMID:  1636029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A transjugular intrahepatic portosystemic shunt (TIPS) can be created percutaneously with the Palmaz balloon-expandable stent. This article describes a transjugular-only approach with a 16-gauge needle. A functional and efficacious shunt can be achieved in most cases with stent diameters of 8-10 mm. Occasionally, a 12-mm-diameter shunt is necessary for effective variceal decompression. The procedure is considered successful when the portosystemic gradient is lowered to 12 mm Hg or less after stent placement. Hepatic vein stenosis in the shunt outflow can develop after the TIPs procedure. This complication has been treated successfully with additional stent placement. TIPS can undoubtedly be performed successfully and safely with a transjugular-only approach; however, the full impact of TIPS on the treatment of portal hypertension remains to be determined.
Authors:
G Zemel; G J Becker; J W Bancroft; J F Benenati; B T Katzen
Related Documents :
22108919 - Uncomplicated vaginal delivery 6 years after stent graft repair of an acute traumatic a...
902389 - Inhalation imaging with oxygen-15 labeled carbon dioxide for detection and quantitation...
21361689 - Intravascular laser speckle imaging catheter for the mechanical evaluation of the arter...
21714429 - Mitral valve perforation appearing years after radiofrequency ablation.
758759 - Left superior vena cava to left atrial communication diagnosed with radionuclide angioc...
7058449 - Intracranial arteriovenous fistulas in infancy--haemodynamic considerations.
22056249 - Long-term follow-up of type ii endoleak embolization reveals the need for close surveil...
12607129 - Direct biochemical evidence for enos stimulation by bradykinin in the human forearm vas...
2980019 - The superior approach for mitral valve replacement.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  12     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-08-27     Completed Date:  1992-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  615-22; discussion 623-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, Miami Vascular Institute, Baptist Hospital of Miami, FL 33176.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Esophageal and Gastric Varices / surgery*
Gastrointestinal Hemorrhage / surgery*
Hepatic Veins / radiography
Humans
Hypertension, Portal / surgery*
Needles
Portasystemic Shunt, Surgical / methods*
Portography
Stents*
Comments/Corrections
Comment In:
Radiographics. 1993 Nov;13(6):1184   [PMID:  8290719 ]

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


Previous Document:  Bladder involvement in systemic amyloidosis causing massive hemorrhage in hemodialysis.
Next Document:  Stridor and upper airway obstruction in infants and children.