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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2017; 01(03): 150-155
DOI: 10.1055/s-0037-1603888
Original Article
Indian Society of Vascular and Interventional Radiology

Effectiveness of Transjugular Intrahepatic Portosystemic Shunt in Variceal Bleeding: An Audit from a Tertiary Care Center in North India

Arun Gupta
1   Department of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
,
Ajay Mehta
2   Department of Radiology, Postgraduate Institute of Medical Sciences and Research, Chandigarh, India
,
Nitin Mishra
1   Department of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
,
Rajendra Bansal
1   Department of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
,
Ajit Yadav
1   Department of Interventional Radiology, Sir Ganga Ram Hospital, New Delhi, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

27. März 2017

01. Mai 2017

Publikationsdatum:
01. September 2017 (online)

   Lizenzen und Reprints

Abstract

Variceal bleeding is one of the most feared complications of cirrhosis and portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) is an effective minimally invasive option to achieve adequate decompression of the portal system. The aim of the study was to assess the efficacy and complications of TIPS in patients presenting with variceal bleed. It was a retrospective study done in a tertiary care center in North India in cirrhotic patients with acute or recurrent variceal bleed who underwent TIPS from April 2010 to October 2013. All the patients were followed up till April 2014. We could successfully implant TIPS in 100% of our patients with 100% success rate in controlling variceal bleeding immediately and during the follow-up period. Our primary patency rate was 94.5% and overall patency rate was 100%. Major TIPS-related complication was hepatic encephalopathy in 20% of patients; 7 of 22 patients died during the follow-up period. TIPS is a safe and effective procedure for control of acute or recurrent variceal bleed. Emerging evidence in favor of early TIPS is further going to expand its indication in variceal bleed. Hepatic encephalopathy was the major procedure-related complication in our study consistent with previous literature reports.

Keywords

TIPS - variceal bleed - encephalopathy
 

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