Persistence of gastric or esophageal varices on final angiography increases transjugular intrahepatic portosystemic shunt revision rate after polytetrafluoroethylene-covered stent shunt creation

Abstract

Background: To assess the association between final polytetrafluoroethylene (PTFE)-covered stent transjugular intrahepatic portosystemic shunt (TIPS) angiographic parameters and free shunt revision survey. Results: Mean follow-up was 455 days. Thirteen (19.4%) patients had shunt revision. Significant free shunt revision survey difference was found between post-procedural angiographic persistent varices group and the group without varices (P=0.0001). Shunt revision rate at 3, 12 and 24 months was respectively 13%, 29%, and 39% in the group with varices versus 0%, 2.7% and 2.7% in the group without. No difference was found between groups for angles A, B, C and distance D.Conclusions: Persistence of gastric or esophageal varices on final trans-TIPS angiography increases TIPS revision rate after PTFE-covered stent shunt creation whereas geometric parameters have no influence.

Safety, Efficacy, and Outcomes of N-Butyl Cyanoacrylate Glue Injection through the Endoscopic or Radiologic Route for Variceal Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis

“…In addition, a trial demonstrated that the 6-month shunt patency was significantly higher (96.2% vs. 82%, p = 0.019) when TIPS was combined with varices embolization [ 74 ]. Furthermore, a study found that persistence of esophageal or gastric varices on trans-TIPS angiographic control was associated with increased shunt revision rates of 13%, 26.3%, and 36.3% at 3, 12, and 24 months, respectively [ 75 ]. The choice of the best embolic agent, though, is still under debate.…”

Metal artifact reduction using mono-energy images combined with metal artifact reduction software in spectral computed tomography: a study on phantoms

“…Esophageal varices bleeding (EVB) is the most dangerous complication of portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) combined with gastric coronary vein embolization (GCVE) is one of the most important and effective treatments for EVB (1,2). A CT scan is a vital follow-up method for evaluating the effect of TIPS combined with GCVE.…”