Polyurethane-coated Dacron-covered stent-grafts for TIPS: Results in swine

被引:20
作者
Bloch, R
Pavcnik, D
Uchida, BT
Krajina, A
Kamino, T
Timmermans, H
Loriaux, M
Hulek, P
机构
[1] Oregon Hlth Sci Univ, Dotter Intervent Inst, Portland, OR 97201 USA
[2] Univ Hosp Hradec Kralove, Dept Radiol, Hradec Kralove, Czech Republic
[3] Osaka City Univ, Sch Med, Dept Radiol, Abeno Ku, Osaka 545, Japan
[4] Oregon Hlth Sci Univ, Dept Pathol, Portland, OR 97201 USA
关键词
Dacron spiral Z stent-graft; transjugular intrahepatic portosystemic shunt (TIPS) Dacron-covered stent-grafts;
D O I
10.1007/s002709900310
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: To evaluate shunt patency after placing a new polyurethane-coated Dacron-covered spiral Z stent-graft to create a transjugular intrahepatic portosystemic shunt (TIPS). Methods: TIPS stent-grafts were placed in six young swine, using polyurethane-coated, Dacron-covered spiral Z stent-grafts. Animals were followed weekly by transhepatic portal venography until shunt occlusion or up to 6 weeks, then were sacrificed for gross and histologic evaluation. Results: Five of six TIPS stent-grafts were found to be occluded by 3 weeks and none were patent at 6 weeks. Histologic evaluation demonstrated a marked foreign body reaction with superimposed thrombosis occluding the graft lumen. Conclusion: Polyurethane-coated Dacron-covered stent-grafts do not improve TIPS patency.
引用
收藏
页码:497 / 500
页数:4
相关论文
共 20 条
[1]   PERCUTANEOUS FEMOROPOPLITEAL GRAFT PLACEMENT [J].
CRAGG, AH ;
DAKE, MD .
RADIOLOGY, 1993, 187 (03) :643-648
[2]   BIOCOMPATIBILITY OF BIODEGRADABLE AND NONBIODEGRADABLE POLYMER-COATED STENTS IMPLANTED IN PORCINE PERIPHERAL ARTERIES [J].
DESCHEERDER, IK ;
WILCZEK, KL ;
VERBEKEN, EV ;
VANDORPE, J ;
LAN, PN ;
SCHACHT, E ;
PIESSENS, J ;
DEGEEST, H .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1995, 18 (04) :227-232
[3]  
ETON D, 1996, CIRCULATION, V94, P82
[4]   DECREASED-PLATELET ADHERENCE OF POLYMER-COATED TANTALUM STENTS [J].
FONTAINE, AB ;
KOELLING, K ;
CLAY, J ;
SPIGOS, DG ;
DOSPASSOS, S ;
CHRISTOFORIDIS, G ;
HINKLE, G ;
HILL, T ;
CEARLOCK, J ;
POZDERAC, R .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (04) :567-572
[5]   PTFE-encapsulated endovascular stent-graft for transjugular intrahepatic portosystemic shunts: Experimental evaluation [J].
Haskal, ZJ ;
Davis, A ;
McAllister, A ;
Furth, EE .
RADIOLOGY, 1997, 205 (03) :682-688
[6]   POLYMERIC STENTING IN THE PORCINE CORONARY-ARTERY MODEL - DIFFERENTIAL OUTCOME OF EXOGENOUS FIBRIN SLEEVES VERSUS POLYURETHANE-COATED STENTS [J].
HOLMES, DR ;
CAMRUD, AR ;
JORGENSON, MA ;
EDWARDS, WD ;
SCHWARTZ, RS .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (02) :525-531
[7]   Transjugular intrahepatic portosystemic stent-shunt (TIPSS) occlusion and the role of biliary venous fistulae [J].
Jalan, R ;
Harrison, DJ ;
Redhead, DN ;
Hayes, PC .
JOURNAL OF HEPATOLOGY, 1996, 24 (02) :169-176
[8]  
Krajina A, 1997, HEPATO-GASTROENTEROL, V44, P667
[9]  
LaBerge J M, 1993, J Vasc Interv Radiol, V4, P779, DOI 10.1016/S1051-0443(93)71972-7
[10]   Dacron-covered stent-grafts for the percutaneous treatment of carotid aneurysms: Effectiveness and biocompatibility - Experimental study in swine [J].
Link, J ;
Feyerabend, B ;
Grabener, M ;
Linstedt, U ;
Brossmann, J ;
Thomsen, H ;
Heller, M .
RADIOLOGY, 1996, 200 (02) :397-401