Passive expansion of sub-maximally dilated transjugular intrahepatic portosystemic shunts and assessment of clinical outcomes

World Journal of Hepatology
Michael C HsuGregory J Nadolski

Abstract

To assess for passive expansion of sub-maximally dilated transjugular intrahepatic portosystemic shunts (TIPS) and compare outcomes with maximally dilated TIPS. Polytetrafluoroethylene covered TIPS (Viatorr) from July 2002 to December 2013 were retrospectively reviewed at two hospitals in a single institution. Two hundred and thirty patients had TIPS maximally dilated to 10 mm (mTIPS), while 43 patients who were at increased risk for hepatic encephalopathy (HE), based on clinical evaluation or low pre-TIPS portosystemic gradient (PSG), had 10 mm TIPS sub-maximally dilated to 8 mm (smTIPS). Group characteristics (age, gender, Model for End-Stage Liver Disease score, post-TIPS PSG and clinical outcomes were compared between groups, including clinical success (ascites or varices), primary patency, primary assisted patency, and severe post-TIPS HE. A subset of fourteen patients with smTIPS underwent follow-up computed tomography imaging after TIPS creation, and were grouped based on time of imaging (< 6 mo and > 6 mo). Change in diameter and cross-sectional area were measured with 3D imaging software to evaluate for passive expansion. Patient characteristics were similar between the smTIPS and mTIPS groups, except for pre-TIPS port...Continue Reading

References

Aug 1, 1994·AJR. American Journal of Roentgenology·Z J HaskalC Cope
Jan 20, 2004·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David C MadoffRichard R Saxon
Mar 19, 2004·Journal of Vascular and Interventional Radiology : JVIR·Klaus A HauseggerAndrea Berghold
Mar 30, 2004·The American Journal of Gastroenterology·Stefania AngeloniOliviero Riggio
Oct 27, 2005·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Oliviero RiggioManuela Merli
Oct 1, 2008·Journal of Vascular and Interventional Radiology : JVIR·Daniel Y SzeAijaz Ahmed
Jun 2, 2009·Cardiovascular and Interventional Radiology·Hugh Q ZhaoLewis B Schwartz
Jul 3, 2009·Journal of Gastroenterology·Ulrich ThalheimerAndrew K Burroughs
Nov 11, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Thomas D BoyerUNKNOWN American Association for the Study of Liver Diseases
Dec 20, 2011·Journal of Vascular and Interventional Radiology : JVIR·Ron C GabaCharles A Owens
Dec 30, 2014·Journal of Vascular and Interventional Radiology : JVIR·Claus Christian PieperDaniel Thomas
Mar 5, 2015·Journal of Vascular and Interventional Radiology : JVIR·Ron C GabaJames T Bui
May 21, 2015·Journal of Vascular and Interventional Radiology : JVIR·Charles N WeberMichael C Soulen

❮ Previous
Next ❯

Software Mentioned

smTIPS
GraphPad Prism
GraphPad
TeraRecon

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.