Primary creation of an externally constrained TIPS: a technique to control reduction of the portosystemic gradient
Transjugular intrahepatic portosystemic shunt (TIPS) creation increases the risk of hepatic encephalopathy due to overshunting. Techniques exist to secondarily reduce the shunt for refractory encephalopathy. The purpose of this article is to describe a technique for primary TIPS restriction using a...
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| Veröffentlicht in: | American journal of roentgenology (1976) 2015-04, Vol.204 (4), p.868-871 |
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| container_end_page | 871 |
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| container_issue | 4 |
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| container_title | American journal of roentgenology (1976) |
| container_volume | 204 |
| creator | Farsad, Khashayar Kolbeck, Kenneth J Keller, Frederick S Barton, Robert E Kaufman, John A |
| description | Transjugular intrahepatic portosystemic shunt (TIPS) creation increases the risk of hepatic encephalopathy due to overshunting. Techniques exist to secondarily reduce the shunt for refractory encephalopathy. The purpose of this article is to describe a technique for primary TIPS restriction using a balloon-expandable stent within the transvenous hepatic track followed by deployment of a self-expanding polytetrafluoroethylene-lined stent-graft within the balloon-expandable stent to create the TIPS.
This technique enables control over the degree of portosystemic shunting in elective TIPS creation. |
| doi_str_mv | 10.2214/AJR.14.13104 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 0361-803X |
| ispartof | American journal of roentgenology (1976), 2015-04, Vol.204 (4), p.868-871 |
| issn | 0361-803X 1546-3141 |
| language | eng |
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| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Ascites - etiology Ascites - therapy Female Hepatic Encephalopathy - etiology Hepatic Encephalopathy - therapy Humans Hydrothorax - etiology Hydrothorax - therapy Liver Cirrhosis - complications Liver Cirrhosis - therapy Liver Cirrhosis - virology Middle Aged Polytetrafluoroethylene Portasystemic Shunt, Transjugular Intrahepatic Stents |
| title | Primary creation of an externally constrained TIPS: a technique to control reduction of the portosystemic gradient |
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