[Preliminary report on portal hypertension treated by transjugular intrahepatic portosystemic stent shunt].Zhonghua Wai Ke Za Zhi. 1994 Aug; 32(8):470-3.ZW
Transjugular intrahepatic portosystemic stent shunt (TIPSS) was carried out in 50 cases of liver cirrhosis with portal hypertension. An average Child-Pugh score in these cases was 10.33 +/- 2.34. Except for 5 cases with portal vein occlusion, the technical success rate of in 45 cases was 95.6%. Acute variceal bleeding was immediately controlled. Portal pressure was reduced by 1.36 +/- 0.48 kPa. Esophageal varices and ascites disappeared. The shrink of spleen, the reducing of body weight were also observed in a week following TIPSS. The velocity of blood flow in stents was 85.61 +/- 35.83 cm/s. Follow-up of 1-9 months found norebleeding and ascites. The velocity of blood flow in stents was 83.83 +/- 34.74 cm/s. Three patients died of liver failure and variceal rebleeding within a month after TIPSS. Slight encephalopathy was observed in 6 cases.