The stiffness of the liver and spleen on ARFI Imaging pre and post TIPS placement: a preliminary observation

Gao, Jing; Ran, Haitao; Ye, Xiaoping; Zheng, Yuanyi; Zhang, Dazhi; Wang, Zhigang

doi:10.1016/j.clinimag.2011.11.014

Cited by 40 publications

(33 citation statements)

References 17 publications

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“…Given the high frequency of asymptomatic shunt failure, an accurate screening test is needed to confirm shunt effectiveness and to identify shunt malfunctions. Alternative non‐invasive methods would minimize both patient morbidity and costs …”

Section: Discussionmentioning

confidence: 99%

Modification of splenic stiffness on acoustic radiation force impulse parallels the variation of portal pressure induced by transjugular intrahepatic portosystemic shunt

Santis

Nardelli

Bassanelli

et al. 2018

J of Gastro and Hepatol

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Section: Discussionmentioning

confidence: 99%

Modification of splenic stiffness on acoustic radiation force impulse parallels the variation of portal pressure induced by transjugular intrahepatic portosystemic shunt

Santis

Nardelli

Bassanelli

et al. 2018

J of Gastro and Hepatol

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“…(3) We presume that the rapid effect of treatment on LS does not translate into an immediate effect on portal hypertension represented by an unchanged SS, and thus does not diminish the risk of variceal hemorrhage in the short term. …”

Section: A He Study Of Liver D I S E Ases Tmentioning

confidence: 99%

Successful antiviral treatment of chronic hepatitis C leads to a rapid decline of liver stiffness without an early effect on spleen stiffness

et al. 2016

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“…Taking into account the remarkable number of patients with early TIPS thrombosis (6.8% of patients in our collective within the first 10 days), accurate diagnosis of early shunt occlusion is challenging in the daily clinical setting. Measurement of spleen stiffness, which is supposed to have strong correlation with portal pressure, might be a promising additional diagnostic tool in this setting [48-50]. …”

Section: Discussionmentioning

confidence: 99%

Transjugular Intrahepatic Portosystemic Shunt in Patients with Portal Hypertension: Patency Depends on Coverage and Interventionalist’s Experience

Buechter¹,

Manka²,

Gerken³

et al. 2018

Dig Dis

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Background and Aims: Transjugular intrahepatic portosystemic shunt (TIPS) is the treatment of choice in decompensated portal hypertension. TIPS revision due to thrombosis or stenosis increases morbidity and mortality. Our aim was to investigate patient- and procedure-associated risk factors for TIPS-revision. Patients and Methods: We retrospectively evaluated 189 patients who underwent the TIPS procedure. Only patients who required TIPS revision within 1 year (Group I, 34 patients) and patients who did not require re-intervention within the first year (Group II [control group], 54 patients) were included. Results: Out of 88 patients, the majority were male (69.3%) and mean age was 56 ± 11 years. Indications for TIPS were refractory ascites (68%), bleeding (24%), and Budd-Chiari syndrome (8%). The most frequent liver disease was alcohol-induced cirrhosis (60%). Forty-three patients (49%) received bare and 45 patients (51%) covered stents, thus resulting in reduction of hepatic venous pressure gradient (HVPG) from 19.0 to 9.0 mm Hg. When comparing patient- and procedure-related factors, the type of stent (p < 0.01) and interventionalist’s experience (number of performed TIPS implantations per year; p < 0.05) were the only factors affecting the risk of re-intervention due to stent dysfunction, while age, gender, indication, Child-Pugh, and model of end-stage liver disease score, platelet count, pre- and post-HVPG, additional variceal embolization, stent diameter, and number of stents did not significantly differ. Conclusion: Patients undergoing TIPS procedure should be surveilled closely for shunt dysfunction while covered stents and high-level experience are associated with increased patency.

show abstract

The stiffness of the liver and spleen on ARFI Imaging pre and post TIPS placement: a preliminary observation

Cited by 40 publications

References 17 publications

Modification of splenic stiffness on acoustic radiation force impulse parallels the variation of portal pressure induced by transjugular intrahepatic portosystemic shunt

Modification of splenic stiffness on acoustic radiation force impulse parallels the variation of portal pressure induced by transjugular intrahepatic portosystemic shunt

Successful antiviral treatment of chronic hepatitis C leads to a rapid decline of liver stiffness without an early effect on spleen stiffness

Transjugular Intrahepatic Portosystemic Shunt in Patients with Portal Hypertension: Patency Depends on Coverage and Interventionalist’s Experience

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