中文English
ISSN 1001-5256
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

经颈静脉肝内门体分流术并发症的处理及预防措施

庹琳 汤善宏 曾维政 吴小翎

庹琳, 汤善宏, 曾维政, 吴小翎. 经颈静脉肝内门体分流术并发症的处理及预防措施[J]. 临床肝胆病杂志, 2016, 32(2): 354-357. DOI: 10.3969/j.issn.1001-5256.2016.02.034
引用本文: 庹琳, 汤善宏, 曾维政, 吴小翎. 经颈静脉肝内门体分流术并发症的处理及预防措施[J]. 临床肝胆病杂志, 2016, 32(2): 354-357. DOI: 10.3969/j.issn.1001-5256.2016.02.034
Tuo Lin, Tang ShanHong, Zeng WeiZheng, Wu XiaoLing. Treatment and prevention strategies to complications of transjugular intrahepatic portosystemic shunt[J]. J Clin Hepatol, 2016, 32(2): 354-357. DOI: 10.3969/j.issn.1001-5256.2016.02.034
Citation: Tuo Lin, Tang ShanHong, Zeng WeiZheng, Wu XiaoLing. Treatment and prevention strategies to complications of transjugular intrahepatic portosystemic shunt[J]. J Clin Hepatol, 2016, 32(2): 354-357. DOI: 10.3969/j.issn.1001-5256.2016.02.034

经颈静脉肝内门体分流术并发症的处理及预防措施

DOI: 10.3969/j.issn.1001-5256.2016.02.034
详细信息
  • 中图分类号: R657.34

Treatment and prevention strategies to complications of transjugular intrahepatic portosystemic shunt

  • 摘要:

    经颈静脉肝内门体分流术(TIPS)可有效地降低门静脉高压,预防反复性食管胃底曲张静脉破裂出血以及缓解难治性腹水。术中涉及血管穿刺、肝实质内扩张穿刺道、支架植入等,会导致诸多并发症。如何对TIPS相关并发症进行有效预防和处理,是TIPS相关研究的一个新方向。对近年来TIPS术中、术后较常见的并发症以及预防/处理策略进行了综述。

     

  • [1]RSCH J,HANAFEE WN,SNOW H.Transjugular portal venography and radiologic portacaval shunt:an experimental study[J].Radiology,1969,92(5):1112-1114.
    [2]COLAPINTO RF,STRONELL RD,BIRCH SJ,et al.Creation of an intrahepatic portosystemic shunt with a Gruntzig balloon catheter[J].Can Med Assoc J,1982,126(3):267-268.
    [3]RSCH J,UCHIDA BT,BARTON RE,et al.Experimental intrahepatic portacaval anastomosis:use of expandable Gianturco stents[J].Radiology,1987,162(2):481-485.
    [4]BOYER TD,HASKAL ZJ,American Association for the Study of Liver Diseases.The role of transjugular intrahepatic portosystemic shunt(TIPS)in the management of portal hypertension:update2009[J].Hepatology,2010,51(1):306.
    [5]Group of Gastrointestinal Intervention,Chinese Society of Gastroenterology,Chinese Medical Association.Consensus on transjugular intrahepatic portosystemic shunt for treatment of cirrhotic portal hypertension[J].J Clin Hepatol,2014,30(3):210-213.(in Chinese)中华医学会消化病学分会消化介入学组.经颈静脉肝内门体分流术治疗肝硬化门静脉高压共识意见[J].临床肝胆病杂志,2014,30(3):210-213.
    [6]RIPAMONTI R,FERRAL H,ALONZO M,et al.Transjugular intrahepatic portosystemic shunt-related complincation and practical solution[J].Semin Intervent Radiol,2006,23(2):165-176.
    [7]TANG SH,QIN JP,SHU QF,et al.The imaging guidance for the portal vein branch puncturing in performing TIPS:recent progress in research[J].Intervent Radiol,2014,23(7):640-643.(in Chinese)汤善宏,秦建平,束庆飞,等.TIPS术中引导门静脉分支穿刺方法[J].介入放射学杂志,2014,23(7):640-643.
    [8]CAPOROSSI JM,VIDAL V,JACQUIER A,et al.Balloon occlusion versus wedged hepatic venography using iodinated contrast for targeting the portal vein during TIPS[J].Diagn Intery Imaging,2015,16(4):357-363.
    [9]HASKAL ZJ,DUSZAK R JR,FURTH EE.Transjungular intrahepatic transcaval portosystemic shunt:the gun-sight approach[J].J Vasc Interv Radiol,1996,7(1):139-142.
    [10]TERRENI N,VANGELI M,RAIMONDO ML,et al.Late intrahepatic hematoma complicating transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome[J].Cardiovasc Intervent Radiol,2007,30(2):335-338.
    [11]YU J,ZHANG W,ZHANG M,et al.Analysis on effect of liver transplantation in treatment of upper gastrointestinal hemorrhage in patients with portal hypertension[J].Chin J Bases Clin General Surg,2013,20(1):24-28.(in Chinese)俞军,张武,张珉,等.肝移植治疗门静脉高压上消化道出血的疗效分析[J].中国普外基础与临床杂志,2013,20(1):24-28.
    [12]QI XS,BAI M,YANG ZP,et al.Selection of a TIPS stent for management of portal hypertension in liver cirrhosis:an evidencebased review[J].World J Gastroenterol,2014,20(21):6470-6480.
    [13]PERARNAU JM,LE GOUGE A,NICOLAS C,et al.Covered vs.Uncoverd stents for transjugular intrahepatic portosystemic shunt:a randomized controlled trial[J].J Hepatol,2014,60(5):962-968.
    [14]LAUERMANN J,POTTHOFF A,MC CAVERT M,et al.comparison of technical and clinical outcome of transjugular portosystemic shunt placement between a bare metal stent and a PTFE-stentgraft device[J].Cardiovasc Intervent Radiol,2015.[Epub ahead of print]
    [15]WENDLER C,SHOENBERGER JM,MAILHOT T,et al.Transjugular intrahepatic portosystemic shunt(TIPS)migration to the heart diagnosed by emergency department ultrasound[J].West J Emerg Med,2012,13(6):525-526.
    [16]SEHGAL M,BROWN DB,PICUS D,et al.Aortoatrial fistula complicating transjugular intrahepatic portosystemic shunt by protrusion of a stent in to the right atrium:radiologica/pathologic correlation[J].Vasc Interv Radiol,2002,13(4):409-412.
    [17]BAI M,QI X,YANG Z,et al.Predictors of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt in cirrhotic patients:a systematic review[J].J Gastroenterol Hepatol,2011,26(6):943-951.
    [18]VIZZUTTI F,REGA L,ARENA U,et al.Paradoxical embolization in TIPS:take a closer look to the heart[J].Ann Hepatol,2015,14(1):127-131.
    [19]CWIKIEL W,BERGENFELDT M,KEUSSEN I.Endovascular removal of the viatorr stent-grafts.Report of two cases[J].Pol J Radlol,2015,80:277-280.
    [20]PATIDAR KR,SYDNOR M,SANYAL AJ.Transjugular intrahepatic portosystemic shunt[J].Clin Liver Dis,2014,18(4):853-876.
    [21]KASWALA D,GANDHI D,MOROIANU A,et al.Hemobilia secondary to transjugular intrahepatic portosystemic shunt procedure:a case report[J].J Clin Med,2012,1(1):15-21.
    [22]DULLER D,KNIEPEISS D,LACKNER C,et al.Biliary obstruction as a complication of transjugular intrahepatic portosystemic shunt[J].Liver Transpl,2009,15(12):556-557.
    [23]CASADABAN LC,PARVINIAN A,MINOCHA J,et al.Clearing the confusion over hepatic encephalopathy after TIPS creation:incidence,prognostic,factors,and clinical outcomes[J].Dig Dis Sic,2015,60(4):1059-1066.
    [24]PEREIRA K,CARRION AF,SALSAMENDI J,et al.Endovascular management of refractory hepatic encephalopathy complication of transjugular intrahepatic portosystemic shunt(TIPS):comprehensive review and clinical practice algorithm[J].Cardiovasc Intervent Radiol,2015.[Epub ahead of print]
    [25]RSCH M.TIPS:25 years later[J].J Hepatol,2013,59(5):1081-1093.
    [26]MONNIN-BARES V,THONY F,SENGEL C,et al.Stent-graft narrowed with a lasso catheter:an adjustable TIPS reduction technique[J].J Vasc Interv Radiol,2010,21(2):275-280.
    [27]CASADABAN LC,PARVINIAN A,COUTURE PM,et al.Characterization of liver function parameter alterations after transjugular intrahepatic portosystemic shunt creation and association with early mortality[J].AJR Am J Roentgenol,2014,203(6):1363-1370.
    [28]QIN JP,JIANG MD,TANG W,et al.Clinical effects and complications of TIPS for portal hypertension due to cirrhosis:a single center[J].World J Gastroenterol,2013,19(44):8085-8092.
    [29]GABA RC,KHIATANI VL,KNUTTINEN MG,et al.Comprehensive review of TIPS technical complications and how to avoid them[J].AJR Am J Roentgenol,2011,196(3):675-685.
    [30]BUTTERWORTH RF.Metal toxicity,liver disease and neurodegeneration[J].Neurotox Res,2010,18(1):100-105.
    [31]PAN YP,FAN N,LI M.Advances in research of hepatic myelopathy[J].Chin J Disaster Med,2014,2(12):710-712.(in Chinese)潘宜鹏,范宁,李明.肝性脊髓病研究现状[J].中华灾害救援医学,2014,2(12):710-712.
    [32]CHEN HJ,ZHENG G,WICHMANN JL,et al.The brain following transjugular intrahepatic portosystemic shunt:perspective from neuroimaging[J].Metab Brain Dis,2015,30(6):1331-1341.
    [33]BABINGTON JR,STAHL JH,COY DL.Reversible cytotoxic edema in a cirrhotic patient following TIPS[J].J Neuroimaging,2009,19(4):391-393.
    [34]TUENNEMANN J,MSSNER J,HOFFMEISTER A.Acute cerebrovascular incident as a complication of TIPS procedure[J].Z Gastroenterol,2013,51(4):381-383.
    [35]SMITH MT,RASE B,WOODS A,et al.Risk of hernia incarceration following transjugular intrahepatic portosystemic shunt placement[J].J Vasc Interv Radiol,2014,25(1):58-62.
  • 加载中
计量
  • 文章访问数:  1356
  • HTML全文浏览量:  19
  • PDF下载量:  343
  • 被引次数: 0
出版历程
  • 收稿日期:  2015-12-18
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回