A new and improved transjugular intrahepatic portosystemic shunt (TIPS) stent graft: Controlled expansion

Gastrointestinal Intervention Pub Date : 2018-04-30 DOI:10.18528/GII180007

H. Trieu, E. Lee

引用次数: 4

Abstract

Initial underdilation of transjugular intrahepatic portosystemic shunt (TIPS) stents has been a widely proposed and commonly practiced technique to balance portal hypertension relief and the adverse effects associated with excess shunting, especially hepatic encephalopathy. However, this technique has been scrutinized by a number of studies which have shown that underdilated TIPS stents tend to passively expand with time. The recently launched GORE® VIATORR® TIPS Endoprosthesis with Controlled Expansion (VIATORR CX®) may address this problem with its novel diameter control capabilities. This article reviews literature concerning passive expansion of initially underdilated TIPS stents and explores preliminary data investigating the use and efficacy of the VIATORR CX® endoprosthesis. Copyright © 2018, Society of Gastrointestinal Intervention. All rights reserved.

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一种新型改良经颈静脉肝内门体分流(TIPS)支架:控制扩张

经颈静脉肝内门静脉系统分流(TIPS)支架的初始欠扩张是一种广泛提出和常用的技术，用于平衡门静脉高压缓解和过度分流相关的不良反应，特别是肝性脑病。然而，这项技术已经被许多研究仔细审查，这些研究表明，随着时间的推移，未充分扩张的TIPS支架倾向于被动扩张。最近推出的GORE®VIATORR®TIPS可控膨胀内假体(VIATORR CX®)可以解决这一问题，其新颖的直径控制能力。本文回顾了有关初始未扩张TIPS支架被动扩张的文献，并探讨了VIATORR CX®内假体的使用和疗效的初步数据。版权所有©2018，胃肠干预学会。版权所有。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.