The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding
After experimental studies, 1 , 2 intrahepatic portosystemic shunts were established in patients by balloon dilation of tissue between portal and hepatic veins 3 , 4 . The results were disappointing, because most patients soon died with recurrent bleeding. Balloon dilation of the tissue tract was no...
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| Veröffentlicht in: | The New England journal of medicine 1994-01, Vol.330 (3), p.165-171 |
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| creator | Rossle, Martin Haag, Klaus Ochs, Andreas Sellinger, Markus Noldge, Gerd Perarnau, Jean-Marc Berger, Elisabeth Blum, Uli Gabelmann, Andreas Hauenstein, Karlheinz Langer, Michael Gerok, Wolfgang |
| description | After experimental studies,
1
,
2
intrahepatic portosystemic shunts were established in patients by balloon dilation of tissue between portal and hepatic veins
3
,
4
. The results were disappointing, because most patients soon died with recurrent bleeding. Balloon dilation of the tissue tract was not sufficient to maintain effective portal decompression and portosystemic shunting. This problem was solved by introducing expandable stents designed to keep the shunt patent. Studies in animals
5
,
6
had demonstrated the efficacy and patency of expandable stents.
Shunting with a transjugular intrahepatic portosystemic stent has been performed in patients for over five years
7
–
11
. The procedure has . . . |
| doi_str_mv | 10.1056/NEJM199401203300303 |
| format | Article |
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1
,
2
intrahepatic portosystemic shunts were established in patients by balloon dilation of tissue between portal and hepatic veins
3
,
4
. The results were disappointing, because most patients soon died with recurrent bleeding. Balloon dilation of the tissue tract was not sufficient to maintain effective portal decompression and portosystemic shunting. This problem was solved by introducing expandable stents designed to keep the shunt patent. Studies in animals
5
,
6
had demonstrated the efficacy and patency of expandable stents.
Shunting with a transjugular intrahepatic portosystemic stent has been performed in patients for over five years
7
–
11
. The procedure has . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199401203300303</identifier><identifier>PMID: 8264738</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Biological and medical sciences ; Bleeding ; Catheters ; Cirrhosis ; Esophageal and Gastric Varices - mortality ; Esophageal and Gastric Varices - surgery ; Esophageal and Gastric Varices - therapy ; Female ; Flow velocity ; Follow-Up Studies ; Gastrointestinal Hemorrhage - mortality ; Gastrointestinal Hemorrhage - surgery ; Gastrointestinal Hemorrhage - therapy ; Hemorrhage ; Hepatic encephalopathy ; Hepatic vein ; Hepatic Veins - surgery ; Humans ; Hypertension ; Implants ; Liver cancer ; Liver cirrhosis ; Liver Cirrhosis - complications ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Middle Aged ; Migration ; Occlusion ; Portal vein ; Portal Vein - surgery ; Portasystemic Shunt, Surgical - adverse effects ; Portasystemic Shunt, Surgical - methods ; Portasystemic Shunt, Surgical - mortality ; Pulmonary artery ; Recurrence ; Sclerotherapy ; Shunts ; Stenosis ; Stents ; Stents - adverse effects ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Thrombolysis ; Ultrasonic imaging ; Veins & arteries</subject><ispartof>The New England journal of medicine, 1994-01, Vol.330 (3), p.165-171</ispartof><rights>Copyright © 1994 Massachusetts Medical Society. All rights reserved.</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c568t-6de5d0973d5842cda5025e2f4ca3870cdee94f2f77cd7bb733efdd220c253c553</citedby><cites>FETCH-LOGICAL-c568t-6de5d0973d5842cda5025e2f4ca3870cdee94f2f77cd7bb733efdd220c253c553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199401203300303$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199401203300303$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3900519$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8264738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rossle, Martin</creatorcontrib><creatorcontrib>Haag, Klaus</creatorcontrib><creatorcontrib>Ochs, Andreas</creatorcontrib><creatorcontrib>Sellinger, Markus</creatorcontrib><creatorcontrib>Noldge, Gerd</creatorcontrib><creatorcontrib>Perarnau, Jean-Marc</creatorcontrib><creatorcontrib>Berger, Elisabeth</creatorcontrib><creatorcontrib>Blum, Uli</creatorcontrib><creatorcontrib>Gabelmann, Andreas</creatorcontrib><creatorcontrib>Hauenstein, Karlheinz</creatorcontrib><creatorcontrib>Langer, Michael</creatorcontrib><creatorcontrib>Gerok, Wolfgang</creatorcontrib><title>The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>After experimental studies,
1
,
2
intrahepatic portosystemic shunts were established in patients by balloon dilation of tissue between portal and hepatic veins
3
,
4
. The results were disappointing, because most patients soon died with recurrent bleeding. Balloon dilation of the tissue tract was not sufficient to maintain effective portal decompression and portosystemic shunting. This problem was solved by introducing expandable stents designed to keep the shunt patent. Studies in animals
5
,
6
had demonstrated the efficacy and patency of expandable stents.
Shunting with a transjugular intrahepatic portosystemic stent has been performed in patients for over five years
7
–
11
. The procedure has . . .</description><subject>Biological and medical sciences</subject><subject>Bleeding</subject><subject>Catheters</subject><subject>Cirrhosis</subject><subject>Esophageal and Gastric Varices - mortality</subject><subject>Esophageal and Gastric Varices - surgery</subject><subject>Esophageal and Gastric Varices - therapy</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Follow-Up Studies</subject><subject>Gastrointestinal Hemorrhage - mortality</subject><subject>Gastrointestinal Hemorrhage - surgery</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Hemorrhage</subject><subject>Hepatic encephalopathy</subject><subject>Hepatic vein</subject><subject>Hepatic Veins - surgery</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Implants</subject><subject>Liver cancer</subject><subject>Liver cirrhosis</subject><subject>Liver Cirrhosis - complications</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Migration</subject><subject>Occlusion</subject><subject>Portal vein</subject><subject>Portal Vein - surgery</subject><subject>Portasystemic Shunt, Surgical - adverse effects</subject><subject>Portasystemic Shunt, Surgical - methods</subject><subject>Portasystemic Shunt, Surgical - mortality</subject><subject>Pulmonary artery</subject><subject>Recurrence</subject><subject>Sclerotherapy</subject><subject>Shunts</subject><subject>Stenosis</subject><subject>Stents</subject><subject>Stents - adverse effects</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Thrombolysis</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1vFDEMhiMEKsvCL0BII0BcqgEnTiaTY6kKbVWgUhc4jrKJpzur-ViSzKH_nqBd9YCg9sGy_Pi1pZexlxzec1DVh69nl1-4MRK4AEQABHzEFlwhllJC9ZgtAERdSm3wKXsW4xZycGmO2FEtKqmxXrCfqw0Vq2DHuJ1v596G4mJMwW5oZ1PniusppCnexURD7m4Sjam82cxjKq7D5MjPgYp2CsUPGzpHti8-9kS-G2-fsyet7SO9ONQl-_7pbHV6Xl59-3xxenJVOlXVqaw8KQ9Go1e1FM5bBUKRaKWzWGtwnsjIVrRaO6_Xa41IrfdCgBMKnVK4ZO_2ursw_ZoppmbooqO-tyNNc2x0hQJVPrBkr_8Ct9McxvxbIwSaGoSEDL35H8RNjZXOyTOFe8qFKcZAbbML3WDDXcOh-eNM8w9n8targ_a8Hsjf7xysyPO3h7mNzvZt9sR18R5DA6C4ydjxHhuG2Iy0HR48-hvRzKEQ</recordid><startdate>19940120</startdate><enddate>19940120</enddate><creator>Rossle, Martin</creator><creator>Haag, Klaus</creator><creator>Ochs, Andreas</creator><creator>Sellinger, Markus</creator><creator>Noldge, Gerd</creator><creator>Perarnau, Jean-Marc</creator><creator>Berger, Elisabeth</creator><creator>Blum, Uli</creator><creator>Gabelmann, Andreas</creator><creator>Hauenstein, Karlheinz</creator><creator>Langer, Michael</creator><creator>Gerok, Wolfgang</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19940120</creationdate><title>The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding</title><author>Rossle, Martin ; Haag, Klaus ; Ochs, Andreas ; Sellinger, Markus ; Noldge, Gerd ; Perarnau, Jean-Marc ; Berger, Elisabeth ; Blum, Uli ; Gabelmann, Andreas ; Hauenstein, Karlheinz ; Langer, Michael ; Gerok, Wolfgang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c568t-6de5d0973d5842cda5025e2f4ca3870cdee94f2f77cd7bb733efdd220c253c553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Biological and medical sciences</topic><topic>Bleeding</topic><topic>Catheters</topic><topic>Cirrhosis</topic><topic>Esophageal and Gastric Varices - mortality</topic><topic>Esophageal and Gastric Varices - surgery</topic><topic>Esophageal and Gastric Varices - therapy</topic><topic>Female</topic><topic>Flow velocity</topic><topic>Follow-Up Studies</topic><topic>Gastrointestinal Hemorrhage - mortality</topic><topic>Gastrointestinal Hemorrhage - surgery</topic><topic>Gastrointestinal Hemorrhage - therapy</topic><topic>Hemorrhage</topic><topic>Hepatic encephalopathy</topic><topic>Hepatic vein</topic><topic>Hepatic Veins - surgery</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Implants</topic><topic>Liver cancer</topic><topic>Liver cirrhosis</topic><topic>Liver Cirrhosis - complications</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Migration</topic><topic>Occlusion</topic><topic>Portal vein</topic><topic>Portal Vein - surgery</topic><topic>Portasystemic Shunt, Surgical - adverse effects</topic><topic>Portasystemic Shunt, Surgical - methods</topic><topic>Portasystemic Shunt, Surgical - mortality</topic><topic>Pulmonary artery</topic><topic>Recurrence</topic><topic>Sclerotherapy</topic><topic>Shunts</topic><topic>Stenosis</topic><topic>Stents</topic><topic>Stents - adverse effects</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Thrombolysis</topic><topic>Ultrasonic imaging</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rossle, Martin</creatorcontrib><creatorcontrib>Haag, Klaus</creatorcontrib><creatorcontrib>Ochs, Andreas</creatorcontrib><creatorcontrib>Sellinger, Markus</creatorcontrib><creatorcontrib>Noldge, Gerd</creatorcontrib><creatorcontrib>Perarnau, Jean-Marc</creatorcontrib><creatorcontrib>Berger, Elisabeth</creatorcontrib><creatorcontrib>Blum, Uli</creatorcontrib><creatorcontrib>Gabelmann, Andreas</creatorcontrib><creatorcontrib>Hauenstein, Karlheinz</creatorcontrib><creatorcontrib>Langer, Michael</creatorcontrib><creatorcontrib>Gerok, Wolfgang</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rossle, Martin</au><au>Haag, Klaus</au><au>Ochs, Andreas</au><au>Sellinger, Markus</au><au>Noldge, Gerd</au><au>Perarnau, Jean-Marc</au><au>Berger, Elisabeth</au><au>Blum, Uli</au><au>Gabelmann, Andreas</au><au>Hauenstein, Karlheinz</au><au>Langer, Michael</au><au>Gerok, Wolfgang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1994-01-20</date><risdate>1994</risdate><volume>330</volume><issue>3</issue><spage>165</spage><epage>171</epage><pages>165-171</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>After experimental studies,
1
,
2
intrahepatic portosystemic shunts were established in patients by balloon dilation of tissue between portal and hepatic veins
3
,
4
. The results were disappointing, because most patients soon died with recurrent bleeding. Balloon dilation of the tissue tract was not sufficient to maintain effective portal decompression and portosystemic shunting. This problem was solved by introducing expandable stents designed to keep the shunt patent. Studies in animals
5
,
6
had demonstrated the efficacy and patency of expandable stents.
Shunting with a transjugular intrahepatic portosystemic stent has been performed in patients for over five years
7
–
11
. The procedure has . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>8264738</pmid><doi>10.1056/NEJM199401203300303</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1994-01, Vol.330 (3), p.165-171 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76323597 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | Biological and medical sciences Bleeding Catheters Cirrhosis Esophageal and Gastric Varices - mortality Esophageal and Gastric Varices - surgery Esophageal and Gastric Varices - therapy Female Flow velocity Follow-Up Studies Gastrointestinal Hemorrhage - mortality Gastrointestinal Hemorrhage - surgery Gastrointestinal Hemorrhage - therapy Hemorrhage Hepatic encephalopathy Hepatic vein Hepatic Veins - surgery Humans Hypertension Implants Liver cancer Liver cirrhosis Liver Cirrhosis - complications Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Middle Aged Migration Occlusion Portal vein Portal Vein - surgery Portasystemic Shunt, Surgical - adverse effects Portasystemic Shunt, Surgical - methods Portasystemic Shunt, Surgical - mortality Pulmonary artery Recurrence Sclerotherapy Shunts Stenosis Stents Stents - adverse effects Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Thrombolysis Ultrasonic imaging Veins & arteries |
| title | The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding |
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