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Stent-graft Narrowed with a Lasso Catheter: An Adjustable TIPS Reduction Technique.

Stent-graft Narrowed with a Lasso Catheter: An Adjustable TIPS Reduction Technique.

Authors :
Monnin-Bares, Valérie
Thony, Frédéric
Sengel, Christian
Bricault, Ivan
Leroy, Vincent
Ferretti, Gilbert
Source :
Journal of Vascular & Interventional Radiology; Feb2010, Vol. 21 Issue 2, p275-280, 6p
Publication Year :
2010

Abstract

The authors describe an endovascular technique to reduce shunt diameter in the management of transjugular intrahepatic portosystemic shunt (TIPS)–induced refractory hepatic encephalopathy. Five patients were treated with a constrained stent-graft by using a commercially available balloon-expandable stent-graft narrowed by using a lasso catheter. This offers the possibility of an adjustable reduction of the shunt diameter. All procedures were technically successful, resulting in a significant increase in the portosystemic gradient and reopacification of the intrahepatic portal vein branches, findings that correlated with clinical improvement. This technique provides the ability to titrate the portosystemic gradient to the desired endpoint during shunt reduction. [Copyright &y& Elsevier]

Details

Language :
English
ISSN :
10510443
Volume :
21
Issue :
2
Database :
Supplemental Index
Journal :
Journal of Vascular & Interventional Radiology
Publication Type :
Academic Journal
Accession number :
47999913
Full Text :
https://doi.org/10.1016/j.jvir.2009.10.019