Transjugular intrahepatic portosystemic shunt in liver transplant recipients: outcomes in six adult patients.

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209775%3A_____%2F23%3AN0000022" target="_blank" >RIV/00209775:_____/23:N0000022 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11150/23:10464815 RIV/00179906:_____/23:10464815 RIV/00023001:_____/23:00083852

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/36593684/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/36593684/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1177/15385744221149907" target="_blank" >10.1177/15385744221149907</a>

Result language

angličtina

Original language name

Transjugular intrahepatic portosystemic shunt in liver transplant recipients: outcomes in six adult patients.

Original language description

Transjugular intrahepatic portosystemic shunt (TIPS) is regularly used in treatment of clinically significant portal hypertension. Liver transplant recipients are, however, rarely indicated for the procedure. The study retrospectively examines the results of TIPS placement in 6 patients after OLT. Methods: 4 males and 2 females (aged 36 to 62 years), treated with TIPS between 2007 a 2018, were included in the study. 5 patients had previously undergone liver transplantation for liver graft cirrhosis, 1 patient for Budd-Chiari syndrome. The piggyback caval reconstruction technique was selected in 4/6 cases. PH developed after OLT due to the recurrence of underlying liver condition and sinusoidal obstruction syndrome in half of the cases, respectively. Indications for TIPS were refractory ascites in 4 cases and variceal bleeding in 2 cases.Results: Standard TIPS technique was used and technical success was achieved in all cases with a procedure-related complication in 1 patient. One patient died shortly after TIPS placement. The remaining patients all reported regression of clinically significant PH. Late complications appeared in 2 patients. Liver retransplantation after TIPS creation was performed in 1 case. Median TIPS patency was 55 months. 2/6 patient continue to thrive with a patent shunt.Conclusions: Transjugular intrahepatic portosystemic shunt in OLT recipients is technically feasible. Favorable clinical outcomes were reported particularly in patients treated for sinusoidal obstruction syndrome who were indicated to TIPS for refractory ascites.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30219 - Gastroenterology and hepatology

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Vascular and Endovascular Surgery

ISSN

1538-5744

e-ISSN

1538-5744

Volume of the periodical

57

Issue of the periodical within the volume

4

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

373-378

UT code for WoS article

000974354700009

EID of the result in the Scopus database

2-s2.0-85145506233