期刊
DIAGNOSTIC AND INTERVENTIONAL IMAGING
卷 100, 期 7-8, 页码 445-453出版社
ELSEVIER MASSON, CORPORATION OFFICE
DOI: 10.1016/j.diii.2019.01.004
关键词
Transjugular IntrahePatic pertosystemic shunt (TIPS); Imaging guidance; Ultrasound; Portal vein puncture; Portat hypertension
Purpose: The purpose of our study was to retrospectively assess the safety and efficacy of percutaneous real-time ultrasound guidance for portal vein puncture during transjugular intrahepatic portosystemic shunt (TIPS) placement. Materials and methods: Between January 2011 and November 2018, procedure details and outcome were retrospectively analyzed for 224 patients who underwent TIPS placement using real-time ultrasound guidance for portal vein puncture. There were 175 men and 49 women with a mean age of 52.7 +/- 10.6 (SD) years (range: 22-82 years). For each procedure, technical success, primary ultrasound guidance success, portosystemic pressure gradient, duration of the intervention, procedural complications, radiation exposure, mortality and morbidity rates at day 30 post-procedure were recorded for data analysis. Results: Technical success rate was 100.0% with a success rate of the primary ultrasound guidance of 97.8% (219/224; 95% CI: 95.8-99.7). Mean duration of the procedure was 86.2 *41.7 (SD) min (range: 22.0-267.0 min). Mean dose-area product was 62.0 + 50.2 (SD) Gy.cm2 (range: 3.7-306.5 Gy.cm(2)). Twelve complications (12/224; 5.4%) occurred in ten patients during TIPS procedures including 8 arterial punctures (3.6%) and 4 biliary punctures (1.8%). Four complications (4/224; 1.8%) were clinically significant. Mortality rate at day 30 after the procedure was 9.8% (22/224), without any patient dying from technical complications. Conclusion: Real-time ultrasound guidance is a safe technique to assist in the creation of TIPS and may allow for lower radiation exposure. (C) 2019 Societe francaise de radiologie. Published by Elsevier Masson SAS. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据