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

Publication ,  Journal Article
Ronald, J; Kim, CY; Konanur, M; Dai, R; Befera, N; Knutson, J; Cline, BC
Published in: J Vasc Interv Radiol
December 2022

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).

Duke Scholars

Published In

J Vasc Interv Radiol

DOI

EISSN

1535-7732

Publication Date

December 2022

Volume

33

Issue

12

Start / End Page

1513 / 1518.e1

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Stents
  • Portasystemic Shunt, Transjugular Intrahepatic
  • Polytetrafluoroethylene
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Hepatic Encephalopathy
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Ronald, J., Kim, C. Y., Konanur, M., Dai, R., Befera, N., Knutson, J., & Cline, B. C. (2022). Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction. J Vasc Interv Radiol, 33(12), 1513-1518.e1. https://doi.org/10.1016/j.jvir.2022.08.030
Ronald, James, Charles Y. Kim, Meghana Konanur, Rui Dai, Nicholas Befera, James Knutson, and Brendan C. Cline. “Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction.J Vasc Interv Radiol 33, no. 12 (December 2022): 1513-1518.e1. https://doi.org/10.1016/j.jvir.2022.08.030.
Ronald J, Kim CY, Konanur M, Dai R, Befera N, Knutson J, et al. Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction. J Vasc Interv Radiol. 2022 Dec;33(12):1513-1518.e1.
Ronald, James, et al. “Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction.J Vasc Interv Radiol, vol. 33, no. 12, Dec. 2022, pp. 1513-1518.e1. Pubmed, doi:10.1016/j.jvir.2022.08.030.
Ronald J, Kim CY, Konanur M, Dai R, Befera N, Knutson J, Cline BC. Coaxial Stent Graft inside a Constraining Stent for Transjugular Intrahepatic Portosystemic Shunt Reduction. J Vasc Interv Radiol. 2022 Dec;33(12):1513-1518.e1.
Journal cover image

Published In

J Vasc Interv Radiol

DOI

EISSN

1535-7732

Publication Date

December 2022

Volume

33

Issue

12

Start / End Page

1513 / 1518.e1

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Stents
  • Portasystemic Shunt, Transjugular Intrahepatic
  • Polytetrafluoroethylene
  • Nuclear Medicine & Medical Imaging
  • Humans
  • Hepatic Encephalopathy
  • 3202 Clinical sciences
  • 1103 Clinical Sciences