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https://www.readbyqxmd.com/read/28110540/portal-vein-thrombosis-in-patients-with-cirrhosis-undergoing-elective-transjugular-intrahepatic-portosystemic-shunt
#1
Wan Yue-Meng, Yu-Hua Li, Hua-Mei Wu, Jing Yang, Li-Hong Yang, Ying Xu
Portal vein thrombosis (PVT) is a common complication in cirrhosis. The aim of this study was to determine risk factors for PVT, assess the efficacy of anticoagulant therapy, and evaluate the effects of PVT on patients with cirrhosis undergoing elective transjugular intrahepatic portosystemic shunt (TIPSS). A total of 101 patients with cirrhosis undergoing elective TIPSS were prospectively studied. After TIPSS, all patients received preventive therapy for PVT and were followed up at 3, 6, 12, and 24 months...
January 1, 2017: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/28079252/outcomes-of-surgical-shunts-and-transjugular-intrahepatic-portasystemic-stent-shunts-for-complicated-portal-hypertension
#2
I Hosokawa, R Adam, M-A Allard, G Pittau, E Vibert, D Cherqui, A Sa Cunha, H Bismuth, M Miyazaki, D Castaing
BACKGROUND: Transjugular intrahepatic portasystemic stent shunt (TIPSS), instead of surgical shunt, has become the standard treatment for patients with complicated portal hypertension. This study compared outcomes in patients who underwent TIPSS or surgical shunting for complicated portal hypertension. METHODS: This was a retrospective study of all consecutive patients who received portasystemic shunts from 1994 to 2014 at a single institution. Patients who underwent surgical shunting were compared with those who had a TIPSS procedure following one-to-one propensity score matching...
March 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28051160/lipopolysaccharide-induced-neutrophil-dysfunction-following-transjugular-intrahepatic-portosystemic-stent-shunt-tipss-insertion-is-associated-with-organ-failure-and-mortality
#3
Jane Macnaughtan, Rajeshwar P Mookerjee, Rajiv Jalan
Systemic lipopolysaccharide (LPS) is implicated in increasing mortality in patients with alcoholic hepatitis but the underlying mechanisms are not well characterised. The objective of this study was to characterise neutrophil function, LPS and cytokine concentrations within the splanchnic circulation of alcoholic cirrhotic patients undergoing TIPSS insertion for variceal haemorrhage and correlate this with outcome. 26 patients with alcoholic cirrhosis and variceal haemorrhage were studied prior to and 1-hour after TIPSS insertion...
January 4, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28003724/balloon-occluded-retrograde-transvenous-obliteration-brto-a-novel-method-of-control-of-bleeding-from-post-glue-ulcer-over-gastric-varices-report-of-two-cases-and-review-of-literature
#4
Ritesh Prajapati, Piyush Ranjan, Arun Gupta, Ajit K Yadav
Bleeding gastric varices (GV) are managed by cyanoacrylate glue injection with transjugular intrahepatic portosystemic shunt (TIPSS) as modality for treatment failure. Ulcer can form at the site of glue injection over GV and it can cause bleeding. Treatment approach for such bleed is not well described. Balloon-occluded retrograde transvenous obliteration (BRTO), TIPSS, and devascularization remain the treatment options in this scenario. BRTO is an endovascular procedure where a balloon catheter is inserted into a draining vein of GV, and the sclerosant can be injected into the varices through the catheter during balloon occlusion...
December 2016: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/27910144/editorial-complications-of-tipss-consolidation-of-a-decade-of-experience
#5
EDITORIAL
N Rajoriya, D Tripathi
No abstract text is available yet for this article.
January 2017: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27853493/implantability-complications-and-follow-up-after-transjugular-intrahepatic-portosystemic-stent-shunt-creation-with-the-6f-self-expanding-sinus-superflex-visual-stent
#6
Daniel Spira, Jakub Wiskirchen, Ulrich Lauer, Dominik Ketelsen, Konstantin Nikolaou, Benjamin Wiesinger
BACKGROUND: The transjugular intrahepatic portosystemic stent-shunt (TIPSS) builds a shortcut between the portal vein and a liver vein, and represents a sophisticated alternative to open surgery in the management of portal hypertension or its complications. OBJECTIVES: To describe clinical experiences with a low-profile nitinol stent system in TIPSS creation, and to assess primary and long-term success. PATIENTS AND METHODS: Twenty-six patients (5 females, 21 males; mean age 54...
July 2016: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
https://www.readbyqxmd.com/read/27777214/-effect-of-covered-stent-length-in-portal-and-hepatic-veins-on-long-term-clinical-efficacy-of-transjugular-intrahepatic-portosystemic-shunt
#7
Peng Hu, Si-Liang Chen, Zhi-Peng Lin, Jian-Bo Zhao, Yong Chen, Xiao-Feng He, Qing-le Zeng, Yan-Hao Li
OBJECTIVE: To evaluate the effect of the length of covered stents in the portal and hepatic veins on long-term clinical efficacy of transjugular intrahepatic portosystemic shunt (TIPS). METHODS: We retrospectively reviewed 53 cases receiving TIPSs between January, 2008 and December, 2011. All the shunts were created with Fluency stents (8 mm in diameter). Bare metal grafts of the same diameter were implanted to extend the length in the portal and hepatic veins as deemed necessary according to angiographic images...
October 20, 2016: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/27686414/feasibility-of-electromagnetically-guided-transjugular-intrahepatic-portosystemic-shunt-procedure
#8
Peter Isfort, Tobias Penzkofer, Christoph Wilkmann, Hong-Sik Na, Christian Kotzlowski, Nobutake Ito, Joachim Georg Pfeffer, Stefan Bisplinghoff, Sabine Osterhues, Andreas Besting, Jorge Gooding, Thomas Schmitz-Rode, Christiane Kuhl, Andreas Horst Mahnken, Philipp Bruners
OBJECTIVES: To develop an electromagnetic navigation technology for transjugular intrahepatic portosystemic shunt (TIPS) creation and translate it from phantom to an in-vivo large animal setting. MATERIAL AND METHODS: A custom-designed device for TIPS creation consisting of a stylet within a 5 French catheter as well as a software prototype were developed that allow real-time tip tracking of both stylet and catheter using an electromagnetic tracking system. Feasibility of navigated TIPSS creation was tested in a phantom by two interventional radiologists (A/B) followed by in-vivo testing evaluation in eight domestic pigs...
February 2017: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/27670147/procedural-and-shunt-related-complications-and-mortality-of-the-transjugular-intrahepatic-portosystemic-shunt-tipss
#9
D Bettinger, M Schultheiss, T Boettler, M Muljono, R Thimme, M Rössle
BACKGROUND: The implantation of a transjugular intrahepatic portosystemic shunt (TIPSS) is a complex angiographic procedure performed in patients with end-stage liver disease. Numerous case reports and narrative reviews have been published so far; however, studies systematically investigating procedural and shunt-related complications are lacking. AIM: To systematically investigate complications and mortality occurring during the index hospital stay and the early (4-week) period after TIPSS implantation...
November 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27629421/expanded-polytetrafluoroethylene-covered-stent-grafts-for-transjugular-intrahepatic-portosystemic-shunts-in-cirrhotic-patients-long-term-patency-and-clinical-outcome-results
#10
Barbara Geeroms, Wim Laleman, Annouschka Laenen, Sam Heye, Chris Verslype, Schalk van der Merwe, Frederik Nevens, Geert Maleux
PURPOSE: To retrospectively analyse long-term patency and overall survival of cirrhotic patients treated with TIPSS using e-PTFE-covered stents. Additionally, prognostic factors for better patency and survival were analysed. MATERIALS AND METHODS: Two hundred and eighty-five consecutive cirrhotic patients with severe portal hypertension-related symptoms were included. Follow-up, including clinical assessment and duplex ultrasound, was analysed up to end of study, patient's death, liver transplantation or TIPSS-reduction...
September 15, 2016: European Radiology
https://www.readbyqxmd.com/read/27254473/long-term-outcomes-following-percutaneous-hepatic-vein-recanalization-for-budd-chiari-syndrome
#11
Dhiraj Tripathi, Lawrence Sunderraj, Vishwaraj Vemala, Homoyon Mehrzad, Zergham Zia, Kamarjit Mangat, Richard West, Frederick Chen, Elwyn Elias, Simon P Olliff
BACKGROUND & AIMS: A proportion of patients with Budd-Chiari Syndrome (BCS) associated with stenosis or short occlusion of the hepatic vein (HV) or upper inferior vena cava (IVC) can be treated with recanalization by percutaneous venoplasty ± HV stent insertion. We studied the long-term outcomes of this approach. METHODS: Single-centre retrospective analysis of patients referred for radiological assessment ± intervention over a 27-year period. Of 155 BCS patients, 63 patients who underwent venoplasty were studied and compared to a previously reported series treated by TIPSS (n = 59)...
January 2017: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/27218672/endovascular-treatment-of-budd-chiari-syndrome-single-center-experience
#12
Krantikumar Rathod, Hemant Deshmukh, Akash Shukla, Bhavesh Popat, Ankur Pandey, Amit Gupte, Deepak Kumar Gupta, Shobna J Bhatia
BACKGROUND AND AIM: Percutaneous radiologic interventions are increasingly being used in management of Budd-Chiari syndrome (BCS). Minimal invasive approach has resulted in excellent long-term outcomes. We evaluated the treatment efficacy and safety of radiological intervention in patients with BCS. METHODS: Between January 2008 and June 2014, 190 patients with BCS underwent endovascular procedures (hepatic vein, collateral vein or inferior vena cava [IVC] plasty with or without stenting, or transjugular intrahepatic portosystemic shunting [TIPSS])...
January 2017: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27137724/editorial-cardiac-volume-overload-and-pulmonary-hypertension-in-long-term-follow-up-of-tipss-patients-authors-reply
#13
EDITORIAL
A Wannhoff, T Hippchen, D N Gotthardt
No abstract text is available yet for this article.
June 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27137723/editorial-cardiac-volume-overload-and-pulmonary-hypertension-in-long-term-follow-up-of-tipss-patients
#14
EDITORIAL
M Rössle, J C Schupp, T C Köhler, M Schultheiss
No abstract text is available yet for this article.
June 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27060876/hepatic-venous-outflow-tract-obstruction-treatment-outcomes-and-development-of-a-new-prognostic-score
#15
Shalimar, A Kumar, S Kedia, H Sharma, S R Gamanagatti, G S Gulati, B Nayak, B Thakur, S K Acharya
BACKGROUND: Results of endovascular interventions in hepatic venous outflow tract obstruction (HVOTO) have been reported from limited studies. Treatment outcomes and prognostic scores need further validation. AIM: To evaluate treatment outcomes and prognostic scores for hepatic venous outflow tract obstruction in an Indian population. METHODS: Consecutive patients with hepatic venous outflow tract obstruction diagnosed at a tertiary centre were included...
June 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/26965361/national-trends-and-outcomes-of-transjugular-intrahepatic-portosystemic-shunt-creation-using-the-nationwide-inpatient-sample
#16
Premal S Trivedi, Paul J Rochon, Janette D Durham, Robert K Ryu
PURPOSE: To elucidate trends in transjugular intrahepatic portosystemic shunt (TIPS) use and outcomes over the course of a decade, including predictors of inpatient mortality and extended length of hospital stay. MATERIALS AND METHODS: The Nationwide Inpatient Sample was interrogated for the most recent 10 years available: 2003-2012. TIPS procedures and associated diagnoses were identified via International Classification of Diseases (version 9) codes, with the latter categorized into primary diagnoses in a hierarchy of disease severity...
June 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/26919285/cardiac-volume-overload-and-pulmonary-hypertension-in-long-term-follow-up-of-patients-with-a-transjugular-intrahepatic-portosystemic-shunt
#17
A Wannhoff, T Hippchen, C S Weiss, K Friedrich, C Rupp, C Neumann-Haefelin, M Dollinger, C Antoni, U Stampfl, P Schemmer, W Stremmel, K H Weiss, B Radeleff, H A Katus, D N Gotthardt
BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPSS) cause haemodynamic changes in patients with cirrhosis, yet little is known about long-term cardiopulmonary outcomes. AIM: To evaluate the long-term cardiopulmonary outcome after TIPSS. METHODS: We evaluated cardiopulmonary parameters including echocardiography during long-term follow-up after TIPSS. Results at 1-5 years after TIPSS were compared to those of cirrhotic controls...
May 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/26852763/pharmacomechanical-thrombectomy-for-salvage-of-tipss-via-successful-clearance-of-occlusive-porto-splenic-venous-thrombosis
#18
A N Tavare, A J Wigham, A Goode
Transjugular intrahepatic porto-systemic shunt (TIPSS) is increasingly used to treat chronic portal vein thrombosis. However shunt thrombosis is a recognised early complication, particularly in those with thrombophilia. We outline a case of non-cirrhotic portal hypertension secondary to chronic portal vein occlusion where TIPSS was successfully performed but rapidly complicated by shunt thrombosis with extension into the portal and splenic veins. Mechanical thrombectomy and low dose systemic pharmacological thrombolysis were of limited benefit...
March 2016: Acta Gastro-enterologica Belgica
https://www.readbyqxmd.com/read/26472616/systematic-review-with-meta-analysis-self-expanding-metal-stents-in-patients-with-cirrhosis-and-severe-or-refractory-oesophageal-variceal-bleeding
#19
REVIEW
A Marot, E Trépo, C Doerig, C Moreno, D Moradpour, P Deltenre
BACKGROUND: The prognosis of patients with cirrhosis and acute variceal bleeding is very poor when the standard-of-care fails to control bleeding. New treatment modalities are needed in these patients. AIM: To synthesise the available evidence on the efficacy of self-expanding metal stents (SEMS) in patients with cirrhosis and severe or refractory oesophageal variceal bleeding. METHODS: Meta-analysis of trials evaluating SEMS in patients with cirrhosis and severe or refractory oesophageal variceal bleeding...
December 2015: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/26464566/potential-pitfalls-in-transjugular-portosystemic-shunt-placement-for-bleeding-rectal-varices
#20
S M Nazmus Sakib, Katsuhiro Kobayashi, Mohammed Jawed
In patients with portal hypertension, bleeding from rectal varices is rare. However, it can be life-threatening. We report a case of massive bleeding from large rectal varices in a 59-year-old man with alcoholic cirrhosis. Emergent transjugular intrahepatic portosystemic shunt (TIPS) placement was performed following failed local endoscopic therapy. Despite normalization of the portosystemic pressure gradient, the patient had another episode of massive bleeding on the following day. Embolization of the rectal varices via TIPS successfully stopped the bleeding...
May 2015: Case Reports in Gastroenterology
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