Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt
ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of An...
Ausführliche Beschreibung
Autor*in: |
DING Zhifeng [verfasserIn] YIN Shiwu [verfasserIn] ZHANG Guobing [verfasserIn] |
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E-Artikel |
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Chinesisch |
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2018 |
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In: Linchuang Gandanbing Zazhi - Editorial Department of Journal of Clinical Hepatology, 2017, 34(2018), 3, Seite 579-582 |
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Übergeordnetes Werk: |
volume:34 ; year:2018 ; number:3 ; pages:579-582 |
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DOI / URN: |
10.3969/j.issn.1001-5256.2018.03.026 |
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Katalog-ID: |
DOAJ063711176 |
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520 | |a ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. | ||
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10.3969/j.issn.1001-5256.2018.03.026 doi (DE-627)DOAJ063711176 (DE-599)DOAJ9e6c7a4ec5d94521a8c5603ef2d15aff DE-627 ger DE-627 rakwb chi RC799-869 DING Zhifeng verfasserin aut Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome Diseases of the digestive system. Gastroenterology YIN Shiwu verfasserin aut ZHANG Guobing verfasserin aut In Linchuang Gandanbing Zazhi Editorial Department of Journal of Clinical Hepatology, 2017 34(2018), 3, Seite 579-582 (DE-627)591509873 (DE-600)2477443-1 10015256 nnns volume:34 year:2018 number:3 pages:579-582 https://doi.org/10.3969/j.issn.1001-5256.2018.03.026 kostenfrei https://doaj.org/article/9e6c7a4ec5d94521a8c5603ef2d15aff kostenfrei http://lcgdbzz.org/qk_content.asp?id=8837 kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_39 GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 34 2018 3 579-582 |
spelling |
10.3969/j.issn.1001-5256.2018.03.026 doi (DE-627)DOAJ063711176 (DE-599)DOAJ9e6c7a4ec5d94521a8c5603ef2d15aff DE-627 ger DE-627 rakwb chi RC799-869 DING Zhifeng verfasserin aut Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome Diseases of the digestive system. Gastroenterology YIN Shiwu verfasserin aut ZHANG Guobing verfasserin aut In Linchuang Gandanbing Zazhi Editorial Department of Journal of Clinical Hepatology, 2017 34(2018), 3, Seite 579-582 (DE-627)591509873 (DE-600)2477443-1 10015256 nnns volume:34 year:2018 number:3 pages:579-582 https://doi.org/10.3969/j.issn.1001-5256.2018.03.026 kostenfrei https://doaj.org/article/9e6c7a4ec5d94521a8c5603ef2d15aff kostenfrei http://lcgdbzz.org/qk_content.asp?id=8837 kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_39 GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 34 2018 3 579-582 |
allfields_unstemmed |
10.3969/j.issn.1001-5256.2018.03.026 doi (DE-627)DOAJ063711176 (DE-599)DOAJ9e6c7a4ec5d94521a8c5603ef2d15aff DE-627 ger DE-627 rakwb chi RC799-869 DING Zhifeng verfasserin aut Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome Diseases of the digestive system. Gastroenterology YIN Shiwu verfasserin aut ZHANG Guobing verfasserin aut In Linchuang Gandanbing Zazhi Editorial Department of Journal of Clinical Hepatology, 2017 34(2018), 3, Seite 579-582 (DE-627)591509873 (DE-600)2477443-1 10015256 nnns volume:34 year:2018 number:3 pages:579-582 https://doi.org/10.3969/j.issn.1001-5256.2018.03.026 kostenfrei https://doaj.org/article/9e6c7a4ec5d94521a8c5603ef2d15aff kostenfrei http://lcgdbzz.org/qk_content.asp?id=8837 kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_39 GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 34 2018 3 579-582 |
allfieldsGer |
10.3969/j.issn.1001-5256.2018.03.026 doi (DE-627)DOAJ063711176 (DE-599)DOAJ9e6c7a4ec5d94521a8c5603ef2d15aff DE-627 ger DE-627 rakwb chi RC799-869 DING Zhifeng verfasserin aut Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome Diseases of the digestive system. Gastroenterology YIN Shiwu verfasserin aut ZHANG Guobing verfasserin aut In Linchuang Gandanbing Zazhi Editorial Department of Journal of Clinical Hepatology, 2017 34(2018), 3, Seite 579-582 (DE-627)591509873 (DE-600)2477443-1 10015256 nnns volume:34 year:2018 number:3 pages:579-582 https://doi.org/10.3969/j.issn.1001-5256.2018.03.026 kostenfrei https://doaj.org/article/9e6c7a4ec5d94521a8c5603ef2d15aff kostenfrei http://lcgdbzz.org/qk_content.asp?id=8837 kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_39 GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 34 2018 3 579-582 |
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10.3969/j.issn.1001-5256.2018.03.026 doi (DE-627)DOAJ063711176 (DE-599)DOAJ9e6c7a4ec5d94521a8c5603ef2d15aff DE-627 ger DE-627 rakwb chi RC799-869 DING Zhifeng verfasserin aut Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome Diseases of the digestive system. Gastroenterology YIN Shiwu verfasserin aut ZHANG Guobing verfasserin aut In Linchuang Gandanbing Zazhi Editorial Department of Journal of Clinical Hepatology, 2017 34(2018), 3, Seite 579-582 (DE-627)591509873 (DE-600)2477443-1 10015256 nnns volume:34 year:2018 number:3 pages:579-582 https://doi.org/10.3969/j.issn.1001-5256.2018.03.026 kostenfrei https://doaj.org/article/9e6c7a4ec5d94521a8c5603ef2d15aff kostenfrei http://lcgdbzz.org/qk_content.asp?id=8837 kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei https://doaj.org/toc/1001-5256 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_39 GBV_ILN_206 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 34 2018 3 579-582 |
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MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. 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Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt |
abstract |
ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. |
abstractGer |
ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. |
abstract_unstemmed |
ObjectiveTo investigate the clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt (TIPS). MethodsA total of 62 patients with portal hypertension who underwent TIPS in Department of Interventional Radiology, The First Affiliated Hospital of Anhui Medical University, from May 2015 to December 2016 were enrolled, among whom 55 had a major symptom of upper gastrointestinal bleeding and 7 had intractable ascites. According to the type of covered stent used in the surgery, the patients were divided into Viatorr stent group with 22 patients and double-stent group with 40 patients (bare stent+Fluency covered stent). The patients were followed for 6-17 months after surgery, and the shunt patency rate, incidence rate of hepatic encephalopathy, and mortality rate were determined. The independent samples t-test or the paired samples t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsAll patients underwent TIPS successfully, and a total of 22 Viatorr stents, 40 bare stents, and 40 Fluency covered stents, with a diameter of 8 mm, were implanted. Portal venous pressure was significantly reduced from 28.7±4.9 mm Hg before surgery to 18.7±4.7 mm Hg after surgery in the Viatorr stent group (t=9.9, P<0.01) and from 27.2±4.3 mm Hg before surgery to 18.8±3.9 mm Hg after surgery in the double-stent group (t=13.5, P<0.01). Gastrointestinal bleeding was stopped for all 55 patients with upper gastrointestinal bleeding, and 7 patients with intractable ascites achieved ascites regression. The patency rate was 95.5% in the Viatorr stent group and 90.0% in the double-stent group, the incidence rate of hepatic encephalopathy was 9% in the Viatorr stent group and 15% in the double-stent group, and the mortality rate was 45% in the Viatorr stent group and 12.5% in the double-stent group, there were no significant differences between the two groups (all P>0.05). ConclusionBoth Viatorr stent and double-stent technique have a good clinical effect in TIPS, and the short-term outcome of TIPS shunt established by Viatorr stent is similar to that of TIPS shunt established by double-stent technique. Further studies are needed to investigate the advantages of Viatorr stent over double-stent technique. |
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Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt |
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https://doi.org/10.3969/j.issn.1001-5256.2018.03.026 https://doaj.org/article/9e6c7a4ec5d94521a8c5603ef2d15aff http://lcgdbzz.org/qk_content.asp?id=8837 https://doaj.org/toc/1001-5256 |
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