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Primary implantation of polyester-covered stent-grafts for transjugular intrahepatic portosystemic stent shunts (TIPSS): A pilot study

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Abstract

Purpose: To investigate whether placement of a polyester-covered stent-graft increases the primary patency of trans-jugular intrahepatic portosystemic stent shunts (TIPSS).

Methods: Between 1995 and 1997 Cragg Endopro or Passager MIBS stent-grafts were used for the creation of TIPSS in eight male patients, 35–59 years of age (mean 48 years). All patients suffered from recurrent variceal bleeding and/or refractory ascites due to liver cirrhosis. Seven stent-grafts were dilated to a diameter of 10 mm, one to 12 mm. Follow-up was performed with duplex ultrasound, clinical assessment, and angiography.

Results: The technical success rate for creation of a TIPSS was 100%. The mean portosystemic pressure gradient decreased from 25 mmHg to 12 mmHg. In seven of eight patients TIPSS dysfunction occurred between 2 days and 3 years after stent-graft placement. In one patient the TIPSS is still primarily patent (224 days after creation). The secondary patency rates are 31 days to 3 years.

Conclusion: The primary use of polyester-covered stent-grafts for TIPSS did not increase primary patency rates in our small series.

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Authors and Affiliations

  1. Department of Angiography and Interventional Radiology, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria

    Manfred Cejna, Siegfried Thurnher, Maria Schoder & Johannes Lammer

  2. Department of Gastroenterology and Hepatology, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria

    Johann Pidlich

  3. Department of Clinical Pathology, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria

    Klaus Kaserer

Authors
  1. Manfred Cejna
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  2. Siegfried Thurnher
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  3. Johann Pidlich
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  4. Klaus Kaserer
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  5. Maria Schoder
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  6. Johannes Lammer
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Cejna, M., Thurnher, S., Pidlich, J. et al. Primary implantation of polyester-covered stent-grafts for transjugular intrahepatic portosystemic stent shunts (TIPSS): A pilot study. Cardiovasc Intervent Radiol 22, 305–310 (1999). https://doi.org/10.1007/s002709900393

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