Coated transjugular intrahepatic portosystemic shunt does not improve thrombocytopenia in patients with liver cirrhosis.

Digestive Diseases and Sciences
Elise J BarneyRichard Manch

Abstract

Thrombocytopenia is a common complication of chronic liver disease. The theory of portal decompression to improve thrombocytopenia due to hypersplenism has led to the study of transjugular intrahepatic portosystemic shunt (TIPS) as a potential therapy. However, there is a paucity of data and results have been conflicting. The aim of this study was to determine whether platelet counts improved in cirrhotic patients after placement of the new polytetrafluoroethylene (PTFE)-coated TIPS, developed in 2004. This is a retrospective cohort study of 68 patients with chronic liver disease who underwent a TIPS procedure. One-hundred twenty controls who did not undergo a TIPS procedure were matched on average for age, sex, race, model for end-stage liver disease (MELD) score, and etiology of liver disease. Platelet and hemoglobin counts were recorded during the month prior to the TIPS procedure (baseline) and over the following 12-14 months or until transplanted or death. While platelet counts improved during the first 3 months after TIPS with a mean increase of 11.25 × 103/μL (p = 0.064), they returned to baseline (pre-TIPS) with mean platelets of 91.31 × 103 μL by 12-14 months in comparison with a mild decrease of 10.2 × 103 μL in plate...Continue Reading

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Citations

Oct 15, 2014·Liver International : Official Journal of the International Association for the Study of the Liver·Thomas D Boyer, Shahid Habib
Jul 3, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Cheng-Hung ChienChih-Lang Lin
Nov 20, 2016·Liver International : Official Journal of the International Association for the Study of the Liver·Markus Peck-Radosavljevic
Sep 10, 2019·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Yoji IshizuMitsuhiro Fujishiro
Jan 14, 2021·AJR. American Journal of Roentgenology·Jiacheng LiuBin Xiong

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