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The Pull-Through Technique for Recanalization of Transjugular Intrahepatic Portosystemic Shunt Dysfunction
المؤلفون المشاركون
Chen, Si-liang
Zhao, Jian-bo
Xiao, Cheng-jiang
Wang, Shuai
Jin, Si-yi
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-04-27
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Purpose.
To evaluate the technical efficacy and safety of the pull-through technique in recanalization of transjugular intrahepatic portosystemic shunt (TIPS) when standard transjugular approach is inaccessible.
Materials and Methods.
A retrospective review of patients underwent TIPS revision via the pull-through technique was performed.
Transhepatic directly punctured stent was conducted if the portal vein could not be accessed via standard transjugular approach.
Technical success was defined by recanalization of shunt.
Clinical success was defined as bleeding interruption and ascites regression without pharmacological support.
All patients were followed up by clinical evaluation and Doppler ultrasound.
Results.
Between January 2010 and December 2016, a total of 63 patients underwent TIPS revision, and 14 of them could not be accessed via standard transjugular approaches owing to stenosis or occlusion of the hepatic vein.
The pull-through technique was successful in 13 patients, and one patient underwent parallel TIPS.
No procedure-related complication was observed.
One patient died of liver failure one week after the procedure.
During the follow-up, three patients developed hepatic encephalopathy, and one patient developed TIPS dysfunction again and experienced variceal bleeding.
The primary patency rate after TIPS revision was 92% (11/12) at 12 months.
Conclusion.
The pull-through technique was effective and safe for recanalization of TIPS inaccessible via standard transjugular approach.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Chen, Si-liang& Xiao, Cheng-jiang& Wang, Shuai& Jin, Si-yi& Zhao, Jian-bo. 2020. The Pull-Through Technique for Recanalization of Transjugular Intrahepatic Portosystemic Shunt Dysfunction. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1167146
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Chen, Si-liang…[et al.]. The Pull-Through Technique for Recanalization of Transjugular Intrahepatic Portosystemic Shunt Dysfunction. Gastroenterology Research and Practice No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1167146
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Chen, Si-liang& Xiao, Cheng-jiang& Wang, Shuai& Jin, Si-yi& Zhao, Jian-bo. The Pull-Through Technique for Recanalization of Transjugular Intrahepatic Portosystemic Shunt Dysfunction. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1167146
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1167146
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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