Repeat interventions for maintenance of transjugular intrahepatic portosystemic shunt function in patients with Budd-Chiari syndrome

被引:35
作者
Cejna, M
Peck-Radosavljevic, M
Schoder, M
Thurnher, S
Ba-Ssalamah, A
Angermayr, B
Kaserer, K
Pokrajac, B
Lammer, J
机构
[1] Vienna Med Sch, Dept Angiog & Intervent Radiol, A-1090 Vienna, Austria
[2] Univ Vienna, Dept Gastroenterol & Hepatol, Vienna, Austria
[3] Univ Vienna, Dept Clin Pathol, Vienna, Austria
[4] Univ Vienna, Dept Radiat Therapy, Vienna, Austria
关键词
Budd-Chiari syndrome; shunts; portosystemic;
D O I
10.1016/S1051-0443(07)61938-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The authors report the role of transjugular intrahepatic portosystemic shunts (TIPS) and consecutive interventions, including brachytherapy (n = 2) and stent-graft placement (n = 3), to increase secondary patency and consequently postpone orthotopic liver transplantation (OLT) in the treatment of Budd-Chiari syndrome in eight patients. Two patients (with hematologic diseases) died 2 weeks after the TIPS procedure. Median follow-up in the six survivors was 42.5 months (range, 11-79 mo). Multiple TIPS occlusions occurred in three patients (range, 2-7 revisions). Reocclusions occurred despite brachytherapy and Hemobahn stent-graft placement and necessitated OLT in one patient. Revision-free patency was achieved in the other two patients after VIATORR stent-graft placement (16 and 32 months after TIPS creation). All patients with stable TIPS (n = 5) are without ascites, no liver failure occurred, and no patients are currently on the transplant list.
引用
收藏
页码:193 / 199
页数:7
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