Development of stenoses in transjugular intrahepatic portosystemic shunts

Gwen K. Nazarian, Hector Ferral, Wilfrido R. Castañeda-Zúñiga, Haraldur Bjarnason, Mary C. Foshager, Jeffrey M. Rank, Casandra A. Anderson, Gail J. Rengel, Mary E. Herman, David W. Hunter

Research output: Contribution to journalArticle

78 Scopus citations

Abstract

PURPOSE: To evaluate the frequency and significance of stenoses or occlusions developing within transjugular intrahepatic portosystemic shunts (TIPS) and identify predictive factors. MATERIALS AND METHODS: Medical records of 52 patients who underwent TIPS placement between September 1991 and October 1993 were reviewed. Various shunt parameters were correlated with the development of shunt abnormalities. Findings at follow-up portography and frequency of variceal bleeding and paracentesis were also noted. RESULTS: Twenty-four patients were followed up for at least 6 months. In eight patients, stenoses developed within 6 months; one shunt occluded. No clear correlations were found between shunt parameters and development of shunt abnormalities. Two of four patients with recurrent variceal bleeding had associated shunt abnormalities. The frequency of stenosis of TIPS was high. CONCLUSION: Early detection and prompt revision of stenotic shunts may decrease the frequency of recurrent variceal bleeding and ascites.

Original languageEnglish (US)
Pages (from-to)231-234
Number of pages4
JournalRadiology
Volume192
Issue number1
DOIs
StatePublished - Jul 1994

Keywords

  • Hypertension, portal
  • Liver, cirrhosis
  • Liver, interventional procedure
  • Shunts, portosystemic
  • Stents and prostheses

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Nazarian, G. K., Ferral, H., Castañeda-Zúñiga, W. R., Bjarnason, H., Foshager, M. C., Rank, J. M., Anderson, C. A., Rengel, G. J., Herman, M. E., & Hunter, D. W. (1994). Development of stenoses in transjugular intrahepatic portosystemic shunts. Radiology, 192(1), 231-234. https://doi.org/10.1148/radiology.192.1.8208944