[Transjugular intrahepatic portosystemic shunt].
The transjugular intrahepatic portosystemic shunt (TIPS) is a relatively new method of creating a portosystemic shunt using a needle, angioplasty balloon catheters and expandable metallic stents. During a 6-month period, the authors have performed TIPS, using the spiral Z-stent--another modification of the Gianturco-Rósch stent--in 13 patients with portal hypertension. The procedure was technically successful in all patients. Portal pressure decreased by 6 mmHg in one group of patients with 9-10 mm stents, and by 12 mmHg in another group using 12 mm stents. Control of variceal bleeding or resolution of refractory ascites was evident in 11 of the 13 patients.
Krajina
A
A
Radiodiagnostická klinika a I. interní klinika, Fakultn nemocnice, Hradec Králove, Ceská republika.
Hůlek
P
P
Eliás
P
P
Michl
A
A
Heger
L
L
Volfová
M
M
Niangová
I
I
Vanásek
T
T
Stilec
R
R
D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon; D004932:Esophageal and Gastric Varices / Q000209:etiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011170:Portasystemic Shunt, Surgical / Q000295:instrumentation / Q000379:methods*; D015641:Radiography, Interventional; D015607:Stents