Journal of Vascular and Interventional Radiology
Volume 19, Issue 11 , Pages 1653-1658 , November 2008

Bidirectionally Adjustable TIPS Reduction by Parallel Stent and Stent-Graft Deployment

  • Daniel Y. Sze, MD, PhD

      Affiliations

    • Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642
    • Corresponding Author InformationAddress correspondence to D.Y.S.
    • ,
  • Gloria L. Hwang, MD

      Affiliations

    • Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642
    • ,
  • Jeffrey S. Kao, MSEE

      Affiliations

    • Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642
    • ,
  • Joan K. Frisoli, MD, PhD

      Affiliations

    • Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642
    • ,
  • Stephen T.W. Kee, MD

      Affiliations

    • Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642
    • ,
  • Mahmood K. Razavi, MD

      Affiliations

    • Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642
    • ,
  • Aijaz Ahmed, MD

      Affiliations

    • Division of Hepatology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642

Received 11 March 2008 ,Revised 8 August 2008 ,Accepted 8 August 2008.

References 

  1. Boyer TD, Haskal ZJ. American Association for the Study of Liver Diseases Practice Guidelines: the role of transjugular intrahepatic portosystemic shunt creation in the management of portal hypertension. J Vasc Interv Radiol. 2005;16:615–629
  2. LaBerge JM, Somberg KA, Lake JR, et al. Two-year outcome following transjugular intrahepatic portosystemic shunt for variceal bleeding: results in 90 patients. Gastroenterology. 1995;108:1143–1151
  3. Bilbao JI, Quiroga J, Herrero JI, Benito A. Transjugular intrahepatic portosystemic shunt (TIPS): current status and future possibilities. Cardiovasc Intervent Radiol. 2002;25:251–269
  4. Viatorr TIPS Endoprosthesis (Instructions for Use). Flagstaff, AZ: W.L. Gore & Associates, Inc; 2006;
  5. Jalan R, Elton RA, Redhead DN, Finlayson ND, Hayes PC. Analysis of prognostic variables in the prediction of mortality, shunt failure, variceal rebleeding and encephalopathy following the transjugular intrahepatic portosystemic stent-shunt for variceal hemorrhage. J Hepatol. 1995;23:123–128
  6. Madoff DC, Wallace MJ, Ahrar K, Saxon RR. TIPS-related hepatic encephalopathy: management options with novel endovascular techniques. Radiographics. 2004;24:21–36
  7. Paz-Fumagalli R, Crain MR, Mewissen MW, Varma RR. Fatal hemodynamic consequences of therapeutic closure of a transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol. 1994;5:831–834
  8. Jalan R, Hayes PC. Risk of intentional reversible thrombosis of transjugular intrahepatic portosystemic shunt. Radiology. 1995;197:587
  9. Saket RR, Sze DY, Razavi MK, et al. TIPS reduction with use of stents or stent-grafts. J Vasc Interv Radiol. 2004;15:745–751
  10. Holden A, Ng R, Gane E, Hill A, McCall J. A technique for controlled partial closure of a transjugular intrahepatic portosystemic shunt tract in a patient with hepatic encephalopathy. J Vasc Interv Radiol. 2006;17:1957–1961
  11. Maleux G, Heye S, Verslype C, Nevens F. Management of transjugular intrahepatic portosystemic shunt-induced refractory hepatic encephalopathy with the parallel technique: results of a clinical follow-up study. J Vasc Interv Radiol. 2007;18:986–993
  12. Cejna M, Thurnher S, Pidlich J, Kaserer K, Schoder M, Lammer J. Primary implantation of polyester-covered stent-grafts for transjugular intrahepatic portosystemic stent shunts (TIPSS): A pilot study. Cardiovasc Interv Radiol. 1999;22:305–310
  13. Otal P, Rousseau H, Vinel JP, Ducoin H, Hassissene S, Joffre F. High occlusion rate in experimental transjugular intrahepatic portosystemic shunt created with a Dacron-covered nitinol stent. J Vasc Interv Radiol. 1999;10:183–188
  14. Haskal ZJ, Weintraub JL, Susman J. Recurrent TIPS thrombosis after polyethylene stent-graft use and salvage with polytetrafluoroethylene stent-grafts. J Vasc Interv Radiol. 2002;13:1255–1259

 From the SIR 2007 Annual Meeting.

 D.Y.S. is a paid consultant to MediGene, Inc. (San Diego, California), Jennerex Biotherapeutics, Inc. (San Francisco, California), and Pain Therapeutics, Inc (San Mateo, California). None of the authors have identified a conflict of interest.

PII: S1051-0443(08)00727-6

doi: 10.1016/j.jvir.2008.08.011

Journal of Vascular and Interventional Radiology
Volume 19, Issue 11 , Pages 1653-1658 , November 2008

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