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[Long-term results after TIPSS with the Palmaz stent].
Radiologe. 1994 Apr; 34(4):178-82.R

Abstract

Since our first clinically successful TIPSS procedure in 1988 numerous steps to improve the safety and methodology have helped to increase the technical and clinical success while the rate of complications could be significantly reduced. In our series of more than 200 patients the technical success rate is more than 95% and the early clinical success rate (< 30 days after TIPSS) 89%, respectively. Early shunt occlusion was found in 1.5% of our patients. 3 months after TIPSS, however, transjugular portography reveals significant shunt stenosis in 46% needing either shunt re-dilatation or additional stent placement. This relatively high rate of re-intervention is being significantly reduced during the further follow-up with a frequency of 17% at a 6 month interval and 6% at a 12 month interval, respectively. The need for re-intervention is strongly associated with liver function and the patients' coagulation status: Child's A patients needed re-intervention substantially more often than those in stage B or C at each given follow-up interval. The decreasing need for re-intervention over time appears to be associated with the formation of an endothelial cell layer on the surface of the shunt tract.

Authors+Show Affiliations

Richter GM
Abteilung Radiodiagnostik, Radiologische Universitätsklinik Heidelberg.
Roeren T
No affiliation info available
Brado M
No affiliation info available
Nöldge G
No affiliation info available
Kauffmann GW
No affiliation info available

MeSH

CatheterizationEsophageal and Gastric VaricesFollow-Up StudiesGastrointestinal HemorrhageHepatic EncephalopathyHepatic VeinsHumansHypertension, PortalJugular VeinsLiver Function TestsPilot ProjectsPortal VeinPortasystemic Shunt, SurgicalPostoperative ComplicationsProspective StudiesReoperationStentsSurvival Rate

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

8052709

Citation

Richter, G M., et al. "[Long-term Results After TIPSS With the Palmaz Stent]." Der Radiologe, vol. 34, no. 4, 1994, pp. 178-82.
Richter GM, Roeren T, Brado M, et al. [Long-term results after TIPSS with the Palmaz stent]. Radiologe. 1994;34(4):178-82.
Richter, G. M., Roeren, T., Brado, M., Nöldge, G., & Kauffmann, G. W. (1994). [Long-term results after TIPSS with the Palmaz stent]. Der Radiologe, 34(4), 178-82.
Richter GM, et al. [Long-term Results After TIPSS With the Palmaz Stent]. Radiologe. 1994;34(4):178-82. PubMed PMID: 8052709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Long-term results after TIPSS with the Palmaz stent]. AU - Richter,G M, AU - Roeren,T, AU - Brado,M, AU - Nöldge,G, AU - Kauffmann,G W, PY - 1994/4/1/pubmed PY - 1994/4/1/medline PY - 1994/4/1/entrez SP - 178 EP - 82 JF - Der Radiologe JO - Radiologe VL - 34 IS - 4 N2 - Since our first clinically successful TIPSS procedure in 1988 numerous steps to improve the safety and methodology have helped to increase the technical and clinical success while the rate of complications could be significantly reduced. In our series of more than 200 patients the technical success rate is more than 95% and the early clinical success rate (< 30 days after TIPSS) 89%, respectively. Early shunt occlusion was found in 1.5% of our patients. 3 months after TIPSS, however, transjugular portography reveals significant shunt stenosis in 46% needing either shunt re-dilatation or additional stent placement. This relatively high rate of re-intervention is being significantly reduced during the further follow-up with a frequency of 17% at a 6 month interval and 6% at a 12 month interval, respectively. The need for re-intervention is strongly associated with liver function and the patients' coagulation status: Child's A patients needed re-intervention substantially more often than those in stage B or C at each given follow-up interval. The decreasing need for re-intervention over time appears to be associated with the formation of an endothelial cell layer on the surface of the shunt tract. SN - 0033-832X UR - https://www.unboundmedicine.com/medline/citation/8052709/[Long_term_results_after_TIPSS_with_the_Palmaz_stent]_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -