title: [Transjugular intrahepatic portosystemic shunt].
abstract: 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.
authors.affiliation: Radiodiagnostická klinika a I. interní klinika, Fakultn nemocnice, Hradec Králove, Ceská republika.
authors.forename: A
authors.initials: A
authors.lastname: Krajina
authors.forename: P
authors.initials: P
authors.lastname: Hůlek
authors.forename: P
authors.initials: P
authors.lastname: Eliás
authors.forename: A
authors.initials: A
authors.lastname: Michl
authors.forename: L
authors.initials: L
authors.lastname: Heger
authors.forename: M
authors.initials: M
authors.lastname: Volfová
authors.forename: I
authors.initials: I
authors.lastname: Niangová
authors.forename: T
authors.initials: T
authors.lastname: Vanásek
authors.forename: R
authors.initials: R
authors.lastname: Stilec
mesh_terms: 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