CardioVascular and Interventional Radiology

, Volume 25, Issue 6, pp 484–493

Transjugular Intrahepatic Portosystemic Shunts in Children with Biliary Atresia

  • Peter E. Huppert
  • Pierre Goffette
  • Wolfgang Astfalk
  • Emil M. Sokal
  • Hans-Jürgen Brambs
  • Ullrich Schott
  • Stephan H. Duda
  • Paul Schweizer
  • Claus D. Claussen

DOI: 10.1007/s00270-002-1913-1

Cite this article as:
Huppert, P., Goffette, P., Astfalk, W. et al. CVIR (2002) 25: 484. doi:10.1007/s00270-002-1913-1

Purpose: We retrospectively evaluated the technical and long-term clinical results of transjugular intrahepatic portosystemic shunts (TIPS) in children with portal hypertension and biliary atresia (BA). Methods: Nine children with BA and recurrent bleeding from esophagogastric and/or intestinal varices were treated by TIPS at the age of 34–156 months and followed-up in two centers. Different types of stents were used. Results: Shunt insertion succeeded in all patients, but in two a second procedure was necessary. Seven procedures lasted more than 3 hr, mainly due to difficult portal vein puncture. Variceal bleeding ceased in all patients; however, 16 reinterventions were performed in eight patients for clinical reasons (n = 11) and sonographically suspected restenosis (n = 5). Four patients underwent successful liver transplantation 4–51 months after TIPS and five are in good clinical conditions 64–75 months after TIPS. Conclusions: TIPS in children with BA is technically difficult, mainly due to periportal fibrosis and small portal veins. Frequency of reinterventions seems to be higher compared with adults.

Copyright information

© Springer-Verlag New York, Inc. 2002

Authors and Affiliations

  • Peter E. Huppert
    • 1
  • Pierre Goffette
    • 2
  • Wolfgang Astfalk
    • 3
  • Emil M. Sokal
    • 4
  • Hans-Jürgen Brambs
    • 1
  • Ullrich Schott
    • 1
  • Stephan H. Duda
    • 1
  • Paul Schweizer
    • 3
  • Claus D. Claussen
    • 1
  1. 1.Department of Diagnostic Radiology, Eberhard Karls University of Tübingen, Hoppe-Seyler-Strasse 3, D-72076 Tübingen, GermanyGERMANY
  2. 2.Department of Vascular and Interventional Radiology, St. Luc University Hospital of Brussels, Av. Hippocrate 10 UCL 10/29.42, Brussels, BelgiumBELGIUM
  3. 3.Department of Pediatric Surgery, Eberhard Karls University of Tübingen, Hoppe-Seyler Strasse 3, D-72076 Tübingen, GermanyGERMANY
  4. 4.Department of Pediatrics, St. Luc University Hospital of Brussels, Av. Hippocrate 10 UCL 10/29.42, Brussels, BelgiumBELGIUM

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