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Transjugular intrahepatic portosystemic shunts with Spiral Z stents: first clinical experience in 20 patients

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  • Interventional Radiology
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Abstract

We report our preliminary experience with Spiral Z stents for transjugular intrahepatic portosystemic shunts (TIPS). The Spiral Z stent is a modification of the Gianturco-Rosch stent. TIPS was performed in 20 patients with symptomatic portal hypertension and was effective in 19 of them. One patient re-bled and died shortly after the procedure, despite of transjugular embolisation of gastro-oesophageal varices. The portal pressure decrease (5–16 mm Hg) was related to stent diameter (8–12 mm). Mean follow-up was 6 months. Our preliminary results confirm that the 12-mm Spiral Z stent is a suitable device for creation of effective TIPS.

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References

  1. Rosch J, Hanafee WN, Snow H (1969) Transjugular portal venography and radiologic portacaval shunt: an experimental study. Radiology 92: 1112–1114

    Google Scholar 

  2. Colapinto RF, Stronell RD, Gildiner M, et al. (1983) Formation of intrahepatic portosystemic shunts using a ballon dilatation catheter: preliminary clinical experience. AJR 140: 709–714

    Google Scholar 

  3. Palmaz JC, Sibbitt RR, Reuter SR, Carcia F, Tio FO (1985) Expandable intrahepatic portacaval shunt stents: early experience in the dog. AJR 145: 821–825

    Google Scholar 

  4. Richter GM, Noeldge G, Palmaz JC, et al. (1990) Transjugular intrahepatic portacaval stent shunt: preliminary clinical results. Radiology 174: 1027–1030

    Google Scholar 

  5. Rosch J, Uchida BT, Putnam JS, Buschman RW, Law RD, Hershey AL (1987) Experimental intrahepatic portocaval anastomosis: use of expandable Gianturco stents. Radiology 162: 481–485

    Google Scholar 

  6. Uchida BT, Putnam JS, Rosch J (1987) Atraumatic transjugular needle for portal vein puncture in swine. Radiology 163: 580–581

    Google Scholar 

  7. Maynar M, Cabrera 1, Pulido-Duque JM, {eaet al.} Transjugular intrahepatic portosystemic shunt: early experience with a flexible trocar/catheter system. AJR 161: 301–306

  8. Longo JM, Bilbao JI, Rousseau HP, et al. Transjugural intrahepatic portosystemic shunt: evaluation with Doppler sonography. Radiology 186: 529–534

  9. Surratt RS, Middleton WD, Darcy MD, Melson GL, Brink JA (1993) Morphologic and hemodynamic findings at sonography before and after creation of a transjugular intrahepatic portosystemic shunt. AJR 160: 627–630

    Google Scholar 

  10. Somberg KA, Riebler JI, Doherty M, et al. (1992) Hepatic encephalopathy following TIPS: incidence and risk factors. Hepatology 16: 122A

  11. Sellinger M, Haag K, Ochs A, Nöldge G, Gerok W, Rössle M (1992) Factors influencing the incidence of hepatic encephalopathy in patients with TIPS. Hepatology 16: 122A

  12. Radosevich PM, Ring EJ, LaBerge JM, et al. (1993) Transjugular intrahepatic portosystemic shunts in patients with portal vein occlusion. Radiology 186: 523–527

    Google Scholar 

  13. Chalmers N, Redhead DN, Simpson KJ, Hayes PC (1992) Transjugular intrahepatic portosystemic stent shunt: early clinical experience. Clin Radiol 46: 166–169

    Google Scholar 

  14. LaBerge JM, Ring EJ, Gordon RL, et al. (1993) Creation of transjugular intrahepatic portosystemic shunts with the Wallstent endoprothesis: results in 100 patients. Radiology 187: 413–420

    CAS  PubMed  Google Scholar 

  15. Cwikiel W, Stridbeck H (1992) Experimental transjugular portocaval shunt. Acta Radiol 33: 356–359

    Google Scholar 

  16. Haskal ZJ, Ring EJ, LaBerge JM, et al. Role of parallel transjugular intrahepatic portosystemic shunts in patients with persistent portal hypertension. Radiology 185: 813-817

  17. Benner K, Sahagun G, Meyer RA, et al. (1993) Shunt patency after transjugular intrahepatic portosystemic shunt. Gastroenterology 104: 876A

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Correspondence to: A. Krajina

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Krajina, A., Hůlek, P., Eliáš, P. et al. Transjugular intrahepatic portosystemic shunts with Spiral Z stents: first clinical experience in 20 patients. Eur. Radiol. 4, 425–429 (1994). https://doi.org/10.1007/BF00212814

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  • DOI: https://doi.org/10.1007/BF00212814

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