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• W2167447036 abstract "Creation of a transjugular intrahepatic portosystemic shunt (TIPS) can effectively treat complications of portal hypertension, but excessive shunting can cause life-threatening hepatic encephalopathy and hepatic insufficiency. The present report describes a novel technique that allows for controlled and adjustable flow reduction through the TIPS via partial closure of the shunt with a balloon-mounted covered stent. The method results in clinical improvement of hepatic encephalopathy and hepatic insufficiency and immediate increase in the portosystemic pressure gradient. However, among the four patients described herein, survival beyond 1 year was seen in only one, who underwent liver transplantation after TIPS reduction. Creation of a transjugular intrahepatic portosystemic shunt (TIPS) can effectively treat complications of portal hypertension, but excessive shunting can cause life-threatening hepatic encephalopathy and hepatic insufficiency. The present report describes a novel technique that allows for controlled and adjustable flow reduction through the TIPS via partial closure of the shunt with a balloon-mounted covered stent. The method results in clinical improvement of hepatic encephalopathy and hepatic insufficiency and immediate increase in the portosystemic pressure gradient. However, among the four patients described herein, survival beyond 1 year was seen in only one, who underwent liver transplantation after TIPS reduction. Re: Management of TIPS-related Refractory Hepatic Encephalopathy with Reduced Wallgraft EndoprosthesesJournal of Vascular and Interventional RadiologyVol. 21Issue 6PreviewI read with interest the article by Kroma et al (1) regarding a novel transjugular intrahepatic portosystemic shunt (TIPS) flow reduction technique with the iCAST balloon-expandable stent (Atrium Medical, Hudson, New Hampshire). Full-Text PDF" @default.
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• W2167447036 date "2009-07-01" @default.
• W2167447036 modified "2023-10-18" @default.
• W2167447036 title "Transjugular Intrahepatic Portosystemic Shunt Flow Reduction with Adjustable Polytetrafluoroethylene-covered Balloon-expandable Stents" @default.
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• W2167447036 doi "https://doi.org/10.1016/j.jvir.2009.03.042" @default.
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