[Transjugular intrahepatic portasystemic shunt and liver transplantation].

Abstract

From the first one hundred consecutive patients treated by transjugular intrahepatic portosystemic shunt (TIPS), 12 subsequently underwent liver transplantation (a mean of 103 +/- 109 days after TIPS). Fourteen TIPS were created in 12 patients, with advanced cirrhosis (Child B = 5, C = 7) and portal hypertension. Seven patients presented either active variceal hemorrhage or refractory variceal bleeding, and 5 cases of refractory ascites. The shunt could be performed in all cases. Two patients experienced rebleeding (one after a shunt obstruction) and were successfully treated by insertion of a second TIPS. A histological study was performed in 10 cases. The shunt was patent in all cases (except in one case previously described), and the endoluminal surface was covered by a connective tissue layer and a new endothelium. We therefore conclude that this method is a safe and effective therapy for complications of portal hypertension, in patients referred for liver transplantation.

• Authors: H Rousseau, J P Vinel, P Maquin, B Suc, I Bilbao, J Longo, G Fourtanier, F Joffre
• Journal: Annales de radiologie (Ann Radiol (Paris)) Vol. 37 Issue 5 Pg. 316-22 ( 1994) ISSN: 0003-4185 [Print] France
• Vernacular Title: Anastomose portosystémique intra-hépatique par voie transjugulaire et transplantation hépatique.
• PMID: 7993017 (Publication Type: Journal Article)

Topics

• Adult
• Angiography
• Ascites (etiology, surgery)
• Esophageal and Gastric Varices (complications, diagnostic imaging)
• Female
• Gastrointestinal Hemorrhage (etiology, surgery)
• Humans
• Liver Cirrhosis (complications, diagnostic imaging, pathology, surgery)
• Liver Cirrhosis, Alcoholic (complications, diagnostic imaging, pathology, surgery)
• Liver Transplantation (methods)
• Male
• Middle Aged
• Portasystemic Shunt, Surgical (methods)
• Preoperative Care
• Recurrence