caa a22 4500 469118210 CHVBK 20180323133130.0 cr unu---uuuuu 170328e19920901xx s 000 0 eng 10.1007/BF02733960 doi (NATIONALLICENCE)springer-10.1007/BF02733960 Morphologic and clinical results of the transjugular intrahepatic portosystemic stent-shunt (TIPSS) [Elektronische Daten] [G. Noeldge, G. Richter, M. Roessle, K. Haag, B. Katzen, G. Becker, J. Palmaz] The concept of transjugular intrahepatic portosystemic stent-assisted shunt (TIPSS) using the Palmaz iliac stent has been successfully accomplished in 18 of 24 patients representing a technical success rate of 75%. Fourteen were male, 4 female with a mean age of 60 years (range 34-84 years). According to classification of Child's and Turcotte, 6 were in stage A, 6 in stage B, and 6 in stage C. Five patients were treated on an emergency basis because of massive active bleeding. In 10 patients the portosystemic tract was created between the middle hepatic vein and the right main stem of the portal vein in 8, and the left main stem in 2 patients. In 8 patients, the shunt was established between the right hepatic vein and the right main branch of the portal vein. The portosystemic gradient in 18 patients was 29.9±6 mm Hg and dropped to an average of 16.9±4 mm Hg after shunt establishment. Within the early postprocedural period of 30 days, 1 patient died of direct complications of the procedure. Because of catheter dislocation, embolization of the percutaneous transhepatic approach to the portal vein after successful shunt "creation” could not be done and was followed by intraabdominal exsanguination. One patient died of an ARDS after TIPSS. A third developed pulmonary infection. In 13 patients, because of hematomas at the puncture site of the transhepatic approach, only the transjugular approach was elected for establishing TIPSS. The mean portosystemic gradient in 18 patients prior to TIPSS was 29±6 mm Hg (range 19-41 mm Hg), dropped to an average of 16.9±4 mm Hg (range 7-21 mm Hg), and showed no significant change 6 months after TIPSS with a pressure of 16±1.8 mm Hg. The 1-year survival rate was 75% (8/12); the 2-year rate was 50% (3/6). Springer-Verlag New York Inc., 1992 Liver cirrhosis, hypertension nationallicence Portal bleedings, variceal nationallicence Transjugular portosystemic shunt nationallicence TIPSS nationallicence Stent, vascular nationallicence Noeldge G. Department of Diagnostic Radiology, Albert-Ludwigs-University, Freiburg, Germany aut Richter G. Department of Diagnostic Radiology, Ruprecht-Karls-University, Heidelberg, Germany aut Roessle M. Department of Internal Medicine II, Albert-Ludwigs-University, Freiburg, Germany aut Haag K. Department of Internal Medicine II, Albert-Ludwigs-University, Freiburg, Germany aut Katzen B. Miami Vascular Institute, Miami, Florida, USA aut Becker G. Miami Vascular Institute, Miami, Florida, USA aut Palmaz J. Section for Special Procedures, University of Texas Health and Science Center, San Antonio, Texas, USA aut CardioVascular and Interventional Radiology Springer-Verlag 15/5(1992-09-01), 342-348 0174-1551 15:5<342 1992 15 270 https://doi.org/10.1007/BF02733960 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02733960 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Noeldge G. Department of Diagnostic Radiology, Albert-Ludwigs-University, Freiburg, Germany aut NATIONALLICENCE 700 1- Richter G. Department of Diagnostic Radiology, Ruprecht-Karls-University, Heidelberg, Germany aut NATIONALLICENCE 700 1- Roessle M. Department of Internal Medicine II, Albert-Ludwigs-University, Freiburg, Germany aut NATIONALLICENCE 700 1- Haag K. Department of Internal Medicine II, Albert-Ludwigs-University, Freiburg, Germany aut NATIONALLICENCE 700 1- Katzen B. Miami Vascular Institute, Miami, Florida, USA aut NATIONALLICENCE 700 1- Becker G. Miami Vascular Institute, Miami, Florida, USA aut NATIONALLICENCE 700 1- Palmaz J. Section for Special Procedures, University of Texas Health and Science Center, San Antonio, Texas, USA aut NATIONALLICENCE 773 0- CardioVascular and Interventional Radiology Springer-Verlag 15/5(1992-09-01), 342-348 0174-1551 15:5<342 1992 15 270 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer