Transjugular intrahepatic portosystemic shunts: experience in the oncology setting

Cancer
Michael J WallaceCarla L Warneke

Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) placement has emerged as an effective and minimally invasive method of treating portal hypertension and its associated complications. To the authors' knowledge there is limited documentation of its use for percutaneous shunting in patients with hepatic and extrahepatic malignancies. The current study reports the authors' experience with TIPS in the oncology setting. Thirty-eight patients with cancer underwent TIPS procedures. Nineteen patients had a history of hepatic malignancy. All medical records and imaging studies were reviewed retrospectively. The indication for TIPS, the presence of malignancy, procedural details, complications, survival, and treatment success were assessed. Primary technical success was accomplished in 37 of 38 patients (97%) without technical procedure-related complications. Hepatic encephalopathy occurred in 15 of 34 patients (44%), with 3 patients requiring shunt reduction. Premature shunt occlusion (< 30 days) occurred in 3 patients (8%). Recurrent hemorrhage occurred in 1 of 19 patients (5%), and ascites and hepatic hydrothorax resolved or improved subjectively in 9 of 12 patients (75%). Shunts traversed malignancy in 9 patients, and varying degr...Continue Reading

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Citations

Dec 1, 2005·Seminars in Interventional Radiology·Michael J Wallace, David C Madoff
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Oct 7, 2005·Journal of Clinical Gastroenterology·Gabriele CatalanoFranco Filipponi
Sep 19, 2020·Zeitschrift für Gastroenterologie·Michael SchultheißMartin Rössle

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