Primary implantation of polyester-covered stent-grafts for transjugular intrahepatic portosystemic stent shunts (TIPSS): A pilot study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1999-07

AUTHORS

Manfred Cejna, Siegfried Thurnher, Johann Pidlich, Klaus Kaserer, Maria Schoder, Johannes Lammer

ABSTRACT

Purpose: To investigate whether placement of a polyester-covered stent-graft increases the primary patency of trans-jugular intrahepatic portosystemic stent shunts (TIPSS).Methods: Between 1995 and 1997 Cragg Endopro or Passager MIBS stent-grafts were used for the creation of TIPSS in eight male patients, 35–59 years of age (mean 48 years). All patients suffered from recurrent variceal bleeding and/or refractory ascites due to liver cirrhosis. Seven stent-grafts were dilated to a diameter of 10 mm, one to 12 mm. Follow-up was performed with duplex ultrasound, clinical assessment, and angiography.Results: The technical success rate for creation of a TIPSS was 100%. The mean portosystemic pressure gradient decreased from 25 mmHg to 12 mmHg. In seven of eight patients TIPSS dysfunction occurred between 2 days and 3 years after stent-graft placement. In one patient the TIPSS is still primarily patent (224 days after creation). The secondary patency rates are 31 days to 3 years.Conclusion: The primary use of polyester-covered stent-grafts for TIPSS did not increase primary patency rates in our small series. More... »

PAGES

305-310

References to SciGraph publications

  • 1998-05. Patency and reintervention rates during routine TIPSS surveillance in CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Journal

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s002709900393

    DOI

    http://dx.doi.org/10.1007/s002709900393

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038964072

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/10415220


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