The presence of spontaneous portosystemic shunts increases the risk of ă complications after transjugular intrahepatic portosystemic shunt (TIPS) ă placement

Patrick Borentain, J. Soussan, Noémie Resseguier (), D. Botta-Fridlund, Jean-Charles Dufour (), René Gerolami and V. Vidal
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Patrick Borentain: Service d'oncologie digestive et hépato-gastro-entérologie [Hôpital de la Timone - APHM] - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM], CRO2 - Centre de Recherches en Oncologie biologique et Oncopharmacologie - AMU - Aix Marseille Université - TIMONE - Hôpital de la Timone [CHU - APHM] - INSERM - Institut National de la Santé et de la Recherche Médicale
J. Soussan: TIMONE - Hôpital de la Timone [CHU - APHM]
Noémie Resseguier: SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale, SSPIM - Service de Santé Publique et d'Information Médicale - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM]
D. Botta-Fridlund: Service d'oncologie digestive et hépato-gastro-entérologie [Hôpital de la Timone - APHM] - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM]
Jean-Charles Dufour: SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale, SSPIM - Service de Santé Publique et d'Information Médicale - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM]
René Gerolami: Service d'oncologie digestive et hépato-gastro-entérologie [Hôpital de la Timone - APHM] - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM], CRO2 - Centre de Recherches en Oncologie biologique et Oncopharmacologie - AMU - Aix Marseille Université - TIMONE - Hôpital de la Timone [CHU - APHM] - INSERM - Institut National de la Santé et de la Recherche Médicale
V. Vidal: TIMONE - Hôpital de la Timone [CHU - APHM]

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Abstract: Purpose: The goal of this study was to identify clinical and imaging ă variables that are associated with an unfavorable outcome during the 30 ă days following transjugular intrahepatic portosystemic shunt (TIPS) ă placement. ă Material and methods: Fifty-four consecutive patients with liver ă cirrhosis (Child-Pugh 6-13, Model for End-stage Liver Disease 7-26) ă underwent TIPS placement for refractory ascites (n = 25), recurrent or ă uncontrolled variceal bleeding (n = 23) or both (n = 6). Clinical, ă biological and imaging variables including type of stent (covered n = ă 40; bare-stent n = 14), presence of spontaneous portosystemic shunt (n = ă 31), and variations in portosystemic pressure gradient were recorded. ă Early severe complication was defined as the occurrence of overt hepatic ă encephalopathy or death within the 30 days following TIPS placement. ă Results: Sixteen patients (30%) presented with early severe ă complication after TIPS placement. Child-Pugh score was independently ă associated with complication (HR = 1.52, P

Keywords: Spontaneous portosystemic shunt; Portal hypertension; Hepatic encephalopathy; Transjugular intrahepatic portosystemic shunt (search for similar items in EconPapers)
Date: 2016-06
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Published in Diagnostic and Interventional Imaging, 2016, 97 (6), pp.643-650. ⟨10.1016/j.diii.2016.02.004⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482523

DOI: 10.1016/j.diii.2016.02.004

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