Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction.

Journal Article (Journal Article)

A technique to create a coaxial, self-expanding stent graft inside a constraining, bare-metal, balloon-expandable stent for transjugular intrahepatic portosystemic shunt (TIPS) reduction is described. The key steps are performed on a back table rather than inside the patient, and the resulting construct is deployed using standard unsheathing maneuvers. The construct was used in 4 patients to make 6 TIPS diameter reductions (mean postreduction diameter, 6 mm; range, 0-8 mm), all resulting in increases in the portosystemic pressure gradient (mean increase, 6 mm Hg; range, 1-19 mm Hg). On average, hepatic encephalopathy improved 1 point on the West Haven scale (range, 0-2).

Full Text

Duke Authors

Cited Authors

  • Ronald, J; Kim, CY; Konanur, M; Dai, R; Befera, N; Knutson, J; Cline, BC

Published Date

  • December 2022

Published In

Volume / Issue

  • 33 / 12

Start / End Page

  • 1513 - 1518.e1

PubMed ID

  • 36084844

Electronic International Standard Serial Number (EISSN)

  • 1535-7732

Digital Object Identifier (DOI)

  • 10.1016/j.jvir.2022.08.030


  • eng

Conference Location

  • United States