Transjugular intrahepatic portacaval stent shunt: preliminary clinical results.
A percutaneous transjugular, intrahepatic portacaval shunt was created by means of a combined jugular and transhepatic approach. In the hepatic tissue track joining the portal and hepatic veins balloon-expandable stents were placed. Two of three patients with life-threatening variceal bleeding and Child C liver cirrhosis benefited from the procedure. One patient in severe hepatorenal failure prior to the procedure died 11 days after the shunt procedure of pulmonary complications. This procedure may be a promising alternative to current therapy in high-risk patients with esophageal bleeding.
Richter
G M
GM
Department of Diagnostic Radiology, Albert Ludwigs University, Heidelberg, Federal Republic of Germany.
Noeldge
G
G
Palmaz
J C
JC
Roessle
M
M
Slegerstetter
V
V
Franke
M
M
Gerok
W
W
Wenz
W
W
Farthman
E
E
D000328:Adult; D001794:Blood Pressure; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011167:Portacaval Shunt, Surgical / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011168:Portal System / Q000503:physiopathology; D011172:Portography; D015607:Stents