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).
- Ronald, J; Kim, CY; Konanur, M; Dai, R; Befera, N; Knutson, J; Cline, BC
- December 2022
Volume / Issue
- 33 / 12
Start / End Page
- 1513 - 1518.e1
Electronic International Standard Serial Number (EISSN)
Digital Object Identifier (DOI)
- United States