医学
经颈静脉肝内门体分流术
肝细胞癌
肝性脑病
胃肠病学
外科
内科学
胃静脉曲张
脑病
回顾性队列研究
栓塞
不利影响
门脉高压
肝硬化
作者
Xiaowu Zhang,Jiaywei Tsauo,Jun Tie,Hao Xue,Jianbo Zhao,Jianjun Li,Zuxiang Fang,Wenping Guo,Xiao Li
标识
DOI:10.1016/j.jvir.2022.03.012
摘要
A total of 42 cirrhotic patients (mean age, 51.7 years ± 10.8; 38 men) with hepatocellular carcinoma who underwent emergent transjugular intrahepatic portosystemic shunt (TIPS) creation for controlling acute gastric variceal bleeding (GVB) were included in this multicenter retrospective study. Of these, 37 (88.1%) patients underwent emergent TIPS creation as the first-line treatment to control acute GVB. Five (11.9%) patients underwent emergent TIPS creation as a rescue/salvage treatment to control acute GVB after emergent endoscopic therapy and pharmacotherapy. Emergent TIPS creation was technically successful in 40 (95.2%) patients. Two (4.8%) patients had severe and moderate procedural adverse events. The median follow-up duration was 16.9 months (range, 0.1-100.8 months). Failure to control acute bleeding and failure to prevent rebleeding occurred in 8 (19.0%) patients during follow-up. Eighteen (42.9%) patients died during follow-up. Three (7.1%) patients had shunt dysfunction during follow-up. Overt hepatic encephalopathy occurred in 6 (14.3%) patients during follow-up.
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