TIPS reduction with use of stents or stent-grafts

Ramin R. Saket, Daniel Y. Sze, Mahmood K. Razavi, Stephen T.W. Kee, Joan K. Frisoli, Charles P. Semba, Michael D. Dake

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

This report describes new techniques to perform TIPS reduction in patients with post-TIPS complications. Methods included hourglass-shaped stents and stent-grafts, and parallel stents and stent-grafts. All procedures were technically successful, resulting in increased portosystemic gradients and decreased symptoms, although patient outcomes were mixed. None of the patients experienced recurrent variceal hemorrhage or ascites in short-term follow-up. Stent-grafts have the advantage of immediate exclusion of blood flow outside the reducing stent, resulting in an immediate reduction of the caliber of the shunt. Techniques that allow fine adjustment of shunt diameters may have further advantages.

Original languageEnglish (US)
Pages (from-to)745-751
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume15
Issue number7
DOIs
StatePublished - Jul 2004

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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