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 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 45% 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. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	DING Zhifeng [verfasserIn] YIN Shiwu [verfasserIn] ZHANG Guobing [verfasserIn]

Format:	E-Artikel
Sprache:	Chinesisch

Erschienen:	2018

Schlagwörter:	hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome

Übergeordnetes Werk:	In: Linchuang Gandanbing Zazhi - Editorial Department of Journal of Clinical Hepatology, 2017, 34(2018), 3, Seite 579-582
Übergeordnetes Werk:	volume:34 ; year:2018 ; number:3 ; pages:579-582

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3969/j.issn.1001-5256.2018.03.026

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 45% 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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allfields	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 45% 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 45% 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 45% 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 45% 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
allfieldsSound	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 45% 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
language	Chinese
source	In Linchuang Gandanbing Zazhi 34(2018), 3, Seite 579-582 volume:34 year:2018 number:3 pages:579-582
sourceStr	In Linchuang Gandanbing Zazhi 34(2018), 3, Seite 579-582 volume:34 year:2018 number:3 pages:579-582
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome Diseases of the digestive system. Gastroenterology
isfreeaccess_bool	true
container_title	Linchuang Gandanbing Zazhi
authorswithroles_txt_mv	DING Zhifeng @@aut@@ YIN Shiwu @@aut@@ ZHANG Guobing @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
hierarchy_top_id	591509873
id	DOAJ063711176
language_de	chinesisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ063711176</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230309032424.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230228s2018 xx \|\|\|\|\|o 00\| \|\|chi c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.3969/j.issn.1001-5256.2018.03.026</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ063711176</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ9e6c7a4ec5d94521a8c5603ef2d15aff</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">chi</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC799-869</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">DING Zhifeng</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="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 45% 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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callnumber-first	R - Medicine
author	DING Zhifeng
spellingShingle	DING Zhifeng misc RC799-869 misc hypertension misc portal misc portasystemic shunt misc transjugular intrahepatic misc Viatorr stent graft misc treatment outcome misc Diseases of the digestive system. Gastroenterology Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt
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topic_title	RC799-869 Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt hypertension portal portasystemic shunt transjugular intrahepatic Viatorr stent graft treatment outcome
topic	misc RC799-869 misc hypertension misc portal misc portasystemic shunt misc transjugular intrahepatic misc Viatorr stent graft misc treatment outcome misc Diseases of the digestive system. Gastroenterology
topic_unstemmed	misc RC799-869 misc hypertension misc portal misc portasystemic shunt misc transjugular intrahepatic misc Viatorr stent graft misc treatment outcome misc Diseases of the digestive system. Gastroenterology
topic_browse	misc RC799-869 misc hypertension misc portal misc portasystemic shunt misc transjugular intrahepatic misc Viatorr stent graft misc treatment outcome misc Diseases of the digestive system. Gastroenterology
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title	Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt
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title_full	Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt
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title_sort	clinical effect of viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt
callnumber	RC799-869
title_auth	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 45% 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 45% 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 45% 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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title_short	Clinical effect of Viatorr stent versus double-stent technique in transjugular intrahepatic portosystemic shunt
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