Covered stents are better than uncovered stents for transjugular intrahepatic portosystemic shunts in cirrhotic patients with refractory ascites : a retrospective cohort study
| Journal | Volume 73 - 2010 |
| Issue | Fasc.3 - Original articles |
| Author(s) | G. Maleux, N.A. Perez-Gutierrez, S. Evrard, A. Mroue, O. Le Moine, W. Laleman, F. Nevens |
| Full article |
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| (1) Department of Radiology, University Hospitals Leuven (Belgium) ; (2) Department of Hepatology, University Hospitals Leuven (Belgium) ; (3) Department of Gastroenterology and Hepatopancreatology, Erasme Hospital, ULB, Brussels (Belgium). |
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Abstract Background and study aims : Transjugular intrahepatic portosystemic shunt (TIPS) is an accepted interventional technique to treat refractory ascites in cirrhotic patients with severe portal hypertension. The expanded-polytetrafluoroethylene (e-PTFE) covered stent-graft (cs-TIPS) gives a better shunt patency rate than uncovered stents (ncs-TIPS). Our aim was to retrospectively evaluate whether cs-TIPS indeed improves refractory ascites and overall survival in a more effective way than ncs-TIPS in patients with cirrhosis. Patients and methods : From 1992 to 2006, 222 cirrhotic patients with refractory ascites underwent a TIPS-procedure. In 126 patients a ncs-TIPS was inserted, in the remaining 96 patients a csTIPS was inserted. Liver transplantation and/or death were the end points of the follow-up. |
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© Acta Gastro-Enterologica Belgica. PMID 21086935 |
