Transjugular intrahepatic portacaval stent shunt: Preliminary clinical results

Goetz M. Richter, Gerd Noeldge, Julio C Palmaz, Martin Roessle, Volker Slegerstetter, Martina Franke, Wolfgang Gerok, Wrner Wenz, Edward Farthman

Research output: Contribution to journalArticle

229 Citations (Scopus)

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 shunt 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 PART 2
StatePublished - Mar 1990

Fingerprint

Surgical Portacaval Shunt
Stents
Hemorrhage
Hepatic Veins
Portal Vein
Liver Cirrhosis
Neck
Lung
Liver

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

  • Radiological and Ultrasound Technology

Cite this

Richter, G. M., Noeldge, G., Palmaz, J. C., Roessle, M., Slegerstetter, V., Franke, M., ... Farthman, E. (1990). Transjugular intrahepatic portacaval stent shunt: Preliminary clinical results. Radiology, 174(3 PART 2), 1027-1030.

Transjugular intrahepatic portacaval stent shunt : Preliminary clinical results. / Richter, Goetz M.; Noeldge, Gerd; Palmaz, Julio C; Roessle, Martin; Slegerstetter, Volker; Franke, Martina; Gerok, Wolfgang; Wenz, Wrner; Farthman, Edward.

In: Radiology, Vol. 174, No. 3 PART 2, 03.1990, p. 1027-1030.

Research output: Contribution to journalArticle

Richter, GM, Noeldge, G, Palmaz, JC, Roessle, M, Slegerstetter, V, Franke, M, Gerok, W, Wenz, W & Farthman, E 1990, 'Transjugular intrahepatic portacaval stent shunt: Preliminary clinical results', Radiology, vol. 174, no. 3 PART 2, pp. 1027-1030.
Richter GM, Noeldge G, Palmaz JC, Roessle M, Slegerstetter V, Franke M et al. Transjugular intrahepatic portacaval stent shunt: Preliminary clinical results. Radiology. 1990 Mar;174(3 PART 2):1027-1030.
Richter, Goetz M. ; Noeldge, Gerd ; Palmaz, Julio C ; Roessle, Martin ; Slegerstetter, Volker ; Franke, Martina ; Gerok, Wolfgang ; Wenz, Wrner ; Farthman, Edward. / Transjugular intrahepatic portacaval stent shunt : Preliminary clinical results. In: Radiology. 1990 ; Vol. 174, No. 3 PART 2. pp. 1027-1030.
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