Transjugular intrahepatic portacaval stent shunt: Preliminary clinical results

G. M. Richter, G. Noeldge, J. C. Palmaz, M. Roessle, V. Slegerstetter, M. Franke, W. Gerok, W. Wenz, E. Farthman

Research output: Contribution to journalArticle

230 Scopus citations

Abstract

A percutaneous transjugular, intrahepatic portacaval shunt was created by means of a combined jugular and transhepatic approach. In the hepatic tissue track joining the portal and hepatic veins balloon-expandable stents were placed. Two of three patients with life-threatening variceal bleeding and Child C liver cirrhosis benefited from the procedure. One patient in severe hepatorenal failure prior to the procedure died 11 days after the stunt procedure of pulmonary complications. This procedure may be a promising alternative to current therapy in high-risk patients with esophageal bleeding.

Original languageEnglish (US)
Pages (from-to)1027-1030
Number of pages4
JournalRadiology
Volume174
Issue number3 II
DOIs
StatePublished - 1990

Keywords

  • Esophagus varices, 71.75
  • hypertension, portal, 95.711, 94.711
  • liver, cirrhosis, 761.794
  • liver, interventional procedure, 761.1229
  • portal vein, 957.711

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Richter, G. M., Noeldge, G., Palmaz, J. C., Roessle, M., Slegerstetter, V., Franke, M., Gerok, W., Wenz, W., & Farthman, E. (1990). Transjugular intrahepatic portacaval stent shunt: Preliminary clinical results. Radiology, 174(3 II), 1027-1030. https://doi.org/10.1148/radiology.174.3.174-3-1027