Treatment of TIPS stenosis with ePTFE graft-covered stents

被引:21
作者
DiSalle, RS [1 ]
Dolmatch, BL [1 ]
机构
[1] Cleveland Clin Fdn, Dept Radiol, Cleveland, OH 44195 USA
关键词
stent-graft; TIPS; restenosis; variceal hemorrhage;
D O I
10.1007/s002709900237
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Midshunt stenosis and recurrent variceal bleeding occurred in 2 patients after transjugular intrahepatic portosystemic shunts (TIPS). Repeat angioplasty was performed in both cases but recurrent stenosis again led to hemorrhage. Expanded polytetrafluoroethylene (ePTFE) graft-covered stents were expanded in each of the TIPS at the midshunt, reducing the portosystemic gradient for both patients. Variceal bleeding ceased, and follow-up studies showed no evidence of recurrent stenosis in either case.
引用
收藏
页码:172 / 175
页数:4
相关论文
共 11 条
[1]   Stent-graft as treatment for TIPS-biliary fistula [J].
Cohen, GS ;
Young, HY ;
Ball, DS .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1996, 7 (05) :665-668
[2]   Severe ascites: Efficacy of the transjugular intrahepatic portosystemic shunt in treatment [J].
Crenshaw, WB ;
Gordon, FD ;
McEniff, NJ ;
Perry, LJ ;
Hartnell, G ;
Anastopoulos, H ;
Jenkins, RL ;
Lewis, WD ;
Wheeler, HG ;
Clouse, ME .
RADIOLOGY, 1996, 200 (01) :185-192
[3]  
Darcy M D, 1992, J Vasc Interv Radiol, V3, P77, DOI 10.1016/S1051-0443(92)72191-5
[4]   TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT - ANGIOGRAPHIC FOLLOW-UP AND SECONDARY INTERVENTIONS [J].
HAUSEGGER, KA ;
STERNTHAL, HM ;
KLEIN, GE ;
KARAIC, R ;
STAUBER, R ;
ZENKER, G .
RADIOLOGY, 1994, 191 (01) :177-181
[5]  
LaBerge J M, 1993, J Vasc Interv Radiol, V4, P779, DOI 10.1016/S1051-0443(93)71972-7
[6]   CREATION OF TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTS WITH THE WALLSTENT ENDOPROSTHESIS - RESULTS IN 100 PATIENTS [J].
LABERGE, JM ;
RING, EJ ;
GORDON, RL ;
LAKE, JR ;
DOHERTY, MM ;
SOMBERG, KA ;
ROBERTS, JP ;
ASCHER, NL .
RADIOLOGY, 1993, 187 (02) :413-420
[7]   INCIDENCE OF SHUNT OCCLUSION OR STENOSIS FOLLOWING TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT PLACEMENT [J].
LIND, CD ;
MALISCH, TW ;
CHONG, WK ;
RICHARDS, WO ;
PINSON, CW ;
MERANZE, SG ;
MAZER, M .
GASTROENTEROLOGY, 1994, 106 (05) :1277-1283
[8]   TRANSFEMORAL ENDOLUMINAL STENTED GRAFT REPAIR OF A POPLITEAL ARTERY ANEURYSM [J].
MARIN, ML ;
VEITH, FJ ;
PANETTA, TF ;
CYNAMON, J ;
BAKAL, CW ;
SUGGS, WD ;
WENGERTER, KR ;
BARONE, HD ;
SCHONHOLZ, C ;
PARODI, JC .
JOURNAL OF VASCULAR SURGERY, 1994, 19 (04) :754-757
[9]   TRANSLUMINALLY PLACED ENDOVASCULAR STENTED GRAFT REPAIR FOR ARTERIAL TRAUMA [J].
MARIN, ML ;
VEITH, FJ ;
PANETTA, TF ;
CYNAMON, J ;
SANCHEZ, LA ;
SCHWARTZ, ML ;
LYON, RT ;
BAKAL, CW ;
SUGGS, WD .
JOURNAL OF VASCULAR SURGERY, 1994, 20 (03) :466-473
[10]   IMPROVED TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT PATENCY WITH PTFE-COVERED STENT-GRAFTS - EXPERIMENTAL RESULTS IN SWINE [J].
NISHIMINE, K ;
SAXON, RR ;
KICHIKAWA, K ;
MENDELHARTVIG, J ;
TIMMERMANS, HA ;
SHIM, HJ ;
UCHIDA, BT ;
BARTON, RE ;
KELLER, FS ;
ROSCH, J .
RADIOLOGY, 1995, 196 (02) :341-347