|
Etiology of Cirrhosis
|
Alcohol
|
HCV
|
HCV
|
|
Indication
|
Portal Hypertension Treatment Prior to Major Abdominal Surgery
|
Refractory Ascites
|
Recurrent Hydrothorax
|
|
Child-Pugh Class
|
B
|
B
|
C
|
|
Known PLSVC
|
No
|
No
|
Yes
|
|
Intraoperative Guidance for Portal Vein Access
|
CO2 Portography
|
IVUS
|
IVUS
|
|
Stents Used
|
Viatorr 12-mm × 6-cm / 2-cm, Wallstent 12-mm × 6-cm
|
Viatorr 10-mm × 6-cm / 2-cm
|
Viatorr 8–10-mm × 8-cm / 2-cm
|
|
Pre-TIPS Portosystemic Gradient (mmHg)
|
18
|
20
|
12
|
|
Post-TIPS Portosystemic Gradient (mmHg)
|
7
|
4
|
4
|
|
Fluoroscopy Time (min)
|
81.2
|
20.8
|
29.1
|
|
Radiation Dose (mGy)
|
1978
|
506
|
708
|
|
Technical Success
|
Yes
|
Yes
|
Yes
|
|
Complications
|
Intraperitoneal Hemorrhage Requiring Transfusion and Angiography (Class D)
|
None
|
None
|
|
Revisions
|
POD 1 for stenosis on angiography
|
None
|
POD 31 for elevated velocities on Duplex
|
|
Follow-up Duration (outcome)
|
924 days (transplant, lost to follow-up)
|
242 days (death)
|
363 days (alive with persistent hydrothorax)
|
