[Transjugular intrahepatic portosystemic shunt for patients with hepatoma].
Nine patients with hepatoma, 5 with massive ascites, 3 with rupture of esophageal varices and 1 with hematoemesis, successfully underwent TIPS without technical complications. Two of the patients died 3 and 5 months, respectively, after TIPS due to hepatic failure and/or tumor extension. Another patient in whom hepatoma ruptured 1 month after TIPS was experienced. It is concluded that TIPS is a useful and safety treatment for portal hypertension even in patients with hepatoma which was not existed through the puncture route. However TIPS should be performed in patients in whom hepatoma has been controlled by hepatic embolization and/or ethanol injection therapy.
Nakamura
K
K
Osaka City University, Department of Radiology.
Takashima
S
S
Kaminou
T
T
Hayashi
S
S
Morimoto
A
A
Matsuo
R
R
Tanaka
M
M
Onoyama
Y
Y
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D004621:Embolization, Therapeutic; D000431:Ethanol / Q000008:administration & dosage; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011170:Portasystemic Shunt, Surgical / Q000379:methods
D000431:Ethanol