caa a22 4500 46573622X CHVBK 20180323111755.0 cr unu---uuuuu 170327e19900501xx s 000 0 eng 10.1007/BF02575474 doi (NATIONALLICENCE)springer-10.1007/BF02575474 The transjugular intrahepatic portosystemic Stent-Shunt (TIPSS): Results of a pilot study [Elektronische Daten] [Goetz Richter, Gerd Noeldge, Julio Palmaz, Martin Roessle] The new concept of TIPSS (Transjugular Intrahepatic Portosystemic Stent-Shunt) using the Palmaz iliac stent was successfully accomplished in 9 patients with severe portal hypertension (7 alcoholic, 2 postinfectious liver cirrhosis) and histories of multiple life-threatening upper GI bleeding. All patients were considered noncandidates for surgical portal decompression. An intrahepatic central connection was made transjugularly between the right hepatic vein and the right portal vein in 8 patients and the left portal vein in 1. The portosystemic gradient dropped from an average of 29±7.2 mmHg to 17.8±2.9 mmHg immediately after, and to 15.7±2.8 mmHg at the latest follow-up control after the procedure. Seven patients survived the procedure and progressed to Child's A stage during the observation period of 1-10 months (mean 5 months). One patient died as a direct complication from the procedure, and another patient 11 days after the procedure from a severe nosocomial infection. In none of the surviving patients has bleeding from varices recurred or encephalopathic coma developed. In one patient the shunt diameter was moderately increased by a routine PTA catheter to further decrease the portosystemic gradient (23 to 14 mmHg) 3 months after the primary procedure. Autopsy in the two patients who died demonstrated open stent-shunts with early neoendothelial incorporation. Springer-Verlag New York Inc., 1990 Liver cirrhosis nationallicence Stents, vascular nationallicence Hypertension, portal, interventional treatment nationallicence Gastrointestinal bleeding nationallicence Portosystemic shunt nationallicence Richter Goetz Department of Diagnostic Radiology, University Hospital Ruprecht-Karls-University, Im Neuenheimer Feld 110, 6900, Heidelberg, West Germany aut Noeldge Gerd Department of Diagnostic Radiology, University Hospital Albert-Ludwigs-University, Freiburg, West Germany aut Palmaz Julio Section of Interventional Radiology and Special Procedures, University of Texas Health and Science Center, San Antonio, Texas, USA aut Roessle Martin Department of Internal Medicine II, University Hospital Albert-Ludwigs-University, Freiburg, West Germany aut CardioVascular and Interventional Radiology Springer-Verlag 13/3(1990-05-01), 200-207 0174-1551 13:3<200 1990 13 270 https://doi.org/10.1007/BF02575474 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02575474 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Richter Goetz Department of Diagnostic Radiology, University Hospital Ruprecht-Karls-University, Im Neuenheimer Feld 110, 6900, Heidelberg, West Germany aut NATIONALLICENCE 700 1- Noeldge Gerd Department of Diagnostic Radiology, University Hospital Albert-Ludwigs-University, Freiburg, West Germany aut NATIONALLICENCE 700 1- Palmaz Julio Section of Interventional Radiology and Special Procedures, University of Texas Health and Science Center, San Antonio, Texas, USA aut NATIONALLICENCE 700 1- Roessle Martin Department of Internal Medicine II, University Hospital Albert-Ludwigs-University, Freiburg, West Germany aut NATIONALLICENCE 773 0- CardioVascular and Interventional Radiology Springer-Verlag 13/3(1990-05-01), 200-207 0174-1551 13:3<200 1990 13 270 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer