Santolaria Piedrafita S, Salvador Milian E, Barrao Yoldi E, Ducons García J, Oscariz Gonzálvez J, Ariño Calve I, Fernández Gómez J, de Gregorio Ariza MA, Barrao Comps F. [The clinical efficacy and complications of the transjugular intrahepatic portosystemic shunt-stent].
Rev Clin Esp 1995;
195:609-13. [PMID:
7481003]
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Abstract
TIPSS is a new therapeutic modality for decompressing the portal tree and its use has broadened in the last five years. From February 1993 to August 1994 a prospective study was performed to evaluate its efficacy and safety. Nineteen cirrhotic patients (Child A-5, B-10, and C-4) with a TIPSS placed were included. The mean follow-up was 7.2 months. The indication was therapy of esophageal variceal bleeding in 18 patients (acutely in 8 and elective in 10 patients) and refractory ascites in one. In all cases could the "stent" be placed and the portocaval gradient decreased from 22.8 +/- 3.71 to 9.3 +/- 2.27 mmHg. In the first thirty days the mortality rate was 10.5%, with the following complications: two portal thromboses, two acute non-lithiasic cholecystitis, one hemoperitoneum, one spontaneous bacterial peritonitis, and one hepatic encephalopathy. During the follow-up period two patients developed hemorrhagic relapses and two additional patients subclinical encephalopathy. TIPSS dysfunction was observed in 57.8%.
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