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Are TIPS Stent-Grafts a Contraindication for Future Liver Transplantation?

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Abstract

Our purpose was to assess the feasibility of orthotopic liver transplantation (OLT) in patients priorly having undergone transjugular intrahepatic portosystemic shunt (TIPS) with an expanded tetrafluoroethylene (e-PTFE)-covered endoprosthesis. In 48 patients an e- PTFE-covered endoprosthesis was inserted to treat severe complications of portal hypertension. In 36 patients the endoprosthesis was inserted during TIPS creation (de novo TIPS); in the other 12 patients the endoprosthesis was placed to repermeabilize the previously created, but occluded bare stent (revision TIPS). Eight of them (5 de novo and 3 revision cases) later underwent an OLT. The hospital records of these patients were reviewed from initial admission, through TIPS, the pre-OLT period, and OLT to current postoperative status. Five de novo and 3 revision cases underwent OLT 4–279 days (mean delay: 80.8 days) after TIPS procedure. All OLT’s were performed under veno-venous bypass surgery. De visu surgical inspection confirmed correct positioning of the fully patent stent graft, starting in the portal vein and ending at the junction of the hepatic vein to the inferior caval vein. No surgical difficulty was observed during proximal or distal clamping or during resection of the diseased liver. Correctly positioned e-PTFE-covered nitinol endoprostheses do not interfere with a later OLT and may not be considered as a contraindication in patients who need a TIPS as a bridge to OLT.

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References

  1. M Cejna M Peck-Radosavljevic SA Thurnher K Hittmair M Schoder J Lammer (2001) ArticleTitleCreation of transjugular intrahepatic portosystemic shunts with stent-grafts: initial experiences with a polytetrafluoroethylene-covered nitinol endoprosthesis. Radiology 221 437–446 Occurrence Handle1:STN:280:DC%2BD3MnkvVCjtA%3D%3D Occurrence Handle11687688

    CAS  PubMed  Google Scholar 

  2. P Otal T Smayra C Bureau et al. (2002) ArticleTitlePreliminary results of a new expanded polytetrafluoroethylene-covered stent-graft for transjugular intrahepatic portosystemic shunt procedures. Am J Roentgenol 178 141–147

    Google Scholar 

  3. JP Lerut P Laterre P Goffette et al. (1996) ArticleTitleTransjugular intrahepatic portosystemic shunt and liver transplantation. Transplant Int 9 370–375 Occurrence Handle1:STN:280:BymH3MnjslU%3D

    CAS  Google Scholar 

  4. B Suc JP Vinel H Rousseau et al. (1995) ArticleTitleIntrahepatic portocaval shunt in patients waiting for transplantation. Transplant Proc 27 1715–1716 Occurrence Handle1:STN:280:ByqB2c3kvVE%3D Occurrence Handle7725467

    CAS  PubMed  Google Scholar 

  5. MS Goldberg D Weppler FA Khan et al. (1997) ArticleTitleDoes transjugular intrahepatic portosystemic shunting facilitate or complicate liver transplantation? Transplant Proc 29 557–559 Occurrence Handle10.1016/S0041-1345(96)00265-5 Occurrence Handle1:STN:280:ByiB3s%2FntFI%3D Occurrence Handle9123127

    Article  CAS  PubMed  Google Scholar 

  6. JM Laberge EJ Ring RL Gordon et al. (1993) ArticleTitleCreation of transjugular portosystemic shunts with the Wallstent endoprosthesis: results in 100 patients. Radiology 187 413–420 Occurrence Handle1:STN:280:ByyB3svnsFE%3D Occurrence Handle8475283

    CAS  PubMed  Google Scholar 

  7. K Nishimine RR Saxon K Kichikawa (1995) ArticleTitleImproved transjugular intrahepatic portosystemic shunt potency with PTFE-covered stent-grafts: experimental results in swine. Radiology 196 341–347 Occurrence Handle1:STN:280:ByqA2czgvFc%3D Occurrence Handle7617843

    CAS  PubMed  Google Scholar 

  8. ZJ Haskal (1999) ArticleTitleImproved patency of transjugular intrahepatic portosystemic shunts in humans: creation and revision with PTFE stent-grafts. Radiology 213 759–766 Occurrence Handle1:STN:280:DC%2BD3c%2Fls1Ohtg%3D%3D Occurrence Handle10580950

    CAS  PubMed  Google Scholar 

  9. PA Clavien M Selzner JE Tuttle-Newhall RC Harland P Suhocki (1998) ArticleTitleLiver transplantation complicated by misplaced TIPS in the portal vein. Ann Surg 227 440–445 Occurrence Handle10.1097/00000658-199803000-00017 Occurrence Handle1:STN:280:DyaK1c7os1aqtQ%3D%3D Occurrence Handle9527068

    Article  CAS  PubMed  Google Scholar 

  10. P Castellani P Campan D Bernardini et al. (2001) ArticleTitleIs transjugular intrahepatic portosystemic shunt really deleterious for liver transplantation issue? A monocentric study on 86 liver transplanted patients. Transplant Proc 33 3468–3469 Occurrence Handle10.1016/S0041-1345(01)02494-0 Occurrence Handle1:STN:280:DC%2BD38%2FgtVKhsg%3D%3D Occurrence Handle11750484

    Article  CAS  PubMed  Google Scholar 

  11. A Mazziotti MC Morelli GL Grazi et al. (1996) ArticleTitleBeware of TIPS in liver transplant candidates. Hepato-Gastroenterol 43 1606–1610 Occurrence Handle1:STN:280:ByiC3s%2FhsVY%3D

    CAS  Google Scholar 

  12. JM Millis P Martin A Gomes et al. (1996) ArticleTitleTransjugular intrahepatic portosystemic shunts: impact on liver transplantation. Liver Transplant Surg 1 229–233

    Google Scholar 

  13. MW Wilson RL Gordon JM LaBerge et al. (1995) ArticleTitleLiver transplantation complicated by malpositioned transjugular intrahepatic portosystemic shunts. JVIR 6 695–699 Occurrence Handle1:STN:280:BymC383otVQ%3D Occurrence Handle8541669

    CAS  PubMed  Google Scholar 

  14. HS Te V Jeevanandam M Millis DC Cronin AL Baker (2001) ArticleTitleOpen cardiotomy for removal of migrating transjugular intrahepatic portosystemic shunt stent combined with liver transplantation. Transplantation 71 1000–1003 Occurrence Handle10.1097/00007890-200104150-00030 Occurrence Handle1:STN:280:DC%2BD3M3ltFGjsg%3D%3D Occurrence Handle11349708

    Article  CAS  PubMed  Google Scholar 

  15. MN Rumi R Schumann RB Freeman RJ Rohrer RB Fairchild (1999) ArticleTitleAcute transjugular intrahepatic portosystemic shunt into pulmonary artery during liver transplantation. Transplantation 67 1492–1494 Occurrence Handle10.1097/00007890-199906150-00020 Occurrence Handle1:STN:280:DyaK1MzhtFyhsg%3D%3D Occurrence Handle10385094

    Article  CAS  PubMed  Google Scholar 

  16. AZ Linka R Jenni (2001) ArticleTitleMigration of intrahepatic portosystemic stent into right ventricle. Circulation 103 161–162 Occurrence Handle1:STN:280:DC%2BD3M%2Fosl2qtQ%3D%3D Occurrence Handle11136702

    CAS  PubMed  Google Scholar 

  17. AC Farney P Gamboa WD Payne RWG Gruessner (1998) ArticleTitleDonor iliac vein interposition during liver transplantation in a patient with migrated transjugular intrahepatic portosystemic shunt. Transplantation 65 572–574 Occurrence Handle10.1097/00007890-199802270-00020 Occurrence Handle1:STN:280:DyaK1c7mtVaksw%3D%3D Occurrence Handle9500635

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Interventional Radiology, University Hospitals, Leuven, Belgium

    Geert Maleux & Johan Vaninbroukx

  2. Department of Transplantation Surgery, University Hospitals, Leuven, Belgium

    Jacques Pirenne & Raymond Aerts

  3. Department of Hepatology, University Hospitals, Leuven, Belgium

    Frederik Nevens

Authors
  1. Geert Maleux
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  2. Jacques Pirenne
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  3. Johan Vaninbroukx
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  4. Raymond Aerts
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  5. Frederik Nevens
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Maleux, G., Pirenne, J., Vaninbroukx, J. et al. Are TIPS Stent-Grafts a Contraindication for Future Liver Transplantation? . CVIR 27, 140–142 (2004). https://doi.org/10.1007/s00270-003-0085-y

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  • DOI: https://doi.org/10.1007/s00270-003-0085-y

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