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A case-controlled study of the safety and efficacy of transjugular intrahepatic portosystemic shunts after liver transplantation: Tips in Liver Transplant Recipients by Andrew King; Gail Masterton; Bridget Gunson; Simon Olliff; Doris Redhead; Kamarjit Mangat; Gabriel Oniscu; Peter Hayes; Dhiraj Tripathi is a Medicine article available to read on EtoBox.
What is A case-controlled study of the safety and efficacy of transjugular intrahepatic portosystemic shunts after liver transplantation: Tips in Liver Transplant Recipients about?
The role of transjugular intrahepatic portosystemic shunt (TIPS) insertion in managing the complications of portal hypertension is well established, but its utility in patients who have previously undergone liver transplantation is not well documented. Twentytwo orthotopic liver transplantation (OLT) patients and 44 nontransplant patients (matched controls) who underwent TIPS were analyzed. In the OLT patients, the TIPS procedure was performed at a median of 44.8 months (range 1⁄4 0.3-143 months) after transplantation. Eight (36.4%) had variceal bleeding, and 14 (63.6%) had refractory ascites. The underlying liver disease was cholestatic in 10 (45.4%) and viral in 4 (18.2%). The mean pre-TIPS Model for End-Stage Liver Disease (MELD) score was 13.4 6 5.1. There were no significant differences in age, sex, indication, etiology, or MELD score with respect to the control group. The mean initial portal pressure gradients (PPGs) were similar in the 2 groups (21.0 versus 22.4 mm Hg for the OLT patients and controls, respectively), but the final PPG was lower in the control group (9.9 versus 6.9 mm Hg, P < 0.05). The rates of both technical success and clinical success were higher in the c
Who reads A case-controlled study of the safety and efficacy of transjugular intrahepatic portosystemic shunts after liver transplantation: Tips in Liver Transplant Recipients?
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- Author
- Andrew King; Gail Masterton; Bridget Gunson; Simon Olliff; Doris Redhead; Kamarjit Mangat; Gabriel Oniscu; Peter Hayes; Dhiraj Tripathi
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)