Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Parallel Shunt for the Treatment of Transjugular Intrahepatic Portosystemic Shunt Dysfunction

  • Luo, Xuefeng (Department of Gastroenterology, West China Hospital, Sichuan University) ;
  • Nie, Ling (Department of Gastroenterology, West China Hospital, Sichuan University) ;
  • Tsauo, Jiaywei (Department of Gastroenterology, West China Hospital, Sichuan University) ;
  • Wang, Zhu (Department of Gastroenterology, West China Hospital, Sichuan University) ;
  • Tang, Chengwei (Department of Gastroenterology, West China Hospital, Sichuan University) ;
  • Li, Xiao (Department of Gastroenterology, West China Hospital, Sichuan University)
  • Published : 2013.06.01
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Abstract

Objective: To investigate the safety, efficacy and long-term patency of parallel shunts (PS) in the management of the transjugular intrahepatic portosystemic shunt (TIPS) dysfunction. Materials and Methods: Between March 2007 and October 2010, 18 patients (13 men and 5 women) who underwent TIPS revision with the creation of PS were evaluated retrospectively. In the first 10 patients, a 10-mm-diameter Wallgraft endoprosthesis was deployed; in the latter 8 patients, an 8-mm-diameter Fluency endoprosthesis was deployed. Results: The creation of PS was technically successful in all patients. The mean ${\pm}$ standard deviation portosystemic pressure gradient before and after the procedure was 25.5 ${\pm}$ 7.3 mm Hg (range, 16-37 mm Hg) and 10.9 ${\pm}$ 2.3 mm Hg (range, 7-16 mm Hg), respectively. The duration of follow-up was 16.7 ${\pm}$ 10.8 months (range, 6-42 months). The primary shunt patency rates at 12 months after the creation of PS was 70% with Wallgraft endoprostheses and 87.5% with Fluency endoprostheses. Conclusion: TIPS revision with the creation of PS is a safe, effective and durable method for treating shunt dysfunction.

Keywords

References

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