Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction.
Journal
Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Titre abrégé: J Vasc Interv Radiol
Pays: United States
ID NLM: 9203369
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
received:
05
05
2022
revised:
15
08
2022
accepted:
29
08
2022
pubmed:
10
9
2022
medline:
6
12
2022
entrez:
9
9
2022
Statut:
ppublish
Résumé
A technique to create a coaxial, self-expanding stent graft inside a constraining, bare-metal, balloon-expandable stent for transjugular intrahepatic portosystemic shunt (TIPS) reduction is described. The key steps are performed on a back table rather than inside the patient, and the resulting construct is deployed using standard unsheathing maneuvers. The construct was used in 4 patients to make 6 TIPS diameter reductions (mean postreduction diameter, 6 mm; range, 0-8 mm), all resulting in increases in the portosystemic pressure gradient (mean increase, 6 mm Hg; range, 1-19 mm Hg). On average, hepatic encephalopathy improved 1 point on the West Haven scale (range, 0-2).
Identifiants
pubmed: 36084844
pii: S1051-0443(22)01183-6
doi: 10.1016/j.jvir.2022.08.030
pii:
doi:
Substances chimiques
Polytetrafluoroethylene
9002-84-0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1513-1518.e1Informations de copyright
Copyright © 2022 SIR. Published by Elsevier Inc. All rights reserved.