经颈静脉肝内门静脉分流术在肝移植名单上的应用。

IF 4.7 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Liver Transplantation Pub Date : 2025-01-01 Epub Date: 2024-09-09 DOI:10.1097/LVT.0000000000000429
Cristina Ripoll, Falk Rauchfuss, Rene Aschenbach, Utz Settmacher, Alexander Zipprich
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引用次数: 0

摘要

肝硬化相关和门脉高压相关并发症的患者可能受益于TIPS和/或肝移植。在许多患者中,是否应该在肝移植前放置TIPS的决定是相当明确的。然而,有些病人的决定可能更复杂。一方面,与肝移植相比,TIPS更容易获得,并且TIPS患者可能有临床改善。另一方面,尽管TIPS可以改善患者的情况,但这种改善可能不足以显著提高生活质量。此外,TIPS错位可能是肝移植手术的挑战。本综述探讨了在肝移植候诊患者中放置TIPS的利弊,并提出了肝移植候诊名单中门静脉高压并发症患者的决策途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transjugular intrahepatic portosystemic shunt for the patients on the liver transplant list.

Patients with cirrhosis-associated and portal hypertension-associated complications may benefit from TIPS and/or liver transplantation. In many patients, the decision of whether or not TIPS should be placed prior to liver transplantation is fairly clear-cut. Nevertheless, there are some patients in whom the decision can be more complex. On one hand, TIPS is easily available in contrast to liver transplantation, and patients with TIPS may have clinical improvement. On the other hand, although TIPS may improve the situation of the patient, this improvement may not be sufficient to significantly improve the quality of life. Furthermore, TIPS malposition may be challenging for liver transplantation surgery. This review approaches the advantages and disadvantages of TIPS placement in patients who are candidates for liver transplantation and proposes decision pathways for patients with complications of portal hypertension on the liver transplant waiting list.

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来源期刊
Liver Transplantation
Liver Transplantation 医学-外科
CiteScore
7.40
自引率
6.50%
发文量
254
审稿时长
3-8 weeks
期刊介绍: Since the first application of liver transplantation in a clinical situation was reported more than twenty years ago, there has been a great deal of growth in this field and more is anticipated. As an official publication of the AASLD, Liver Transplantation delivers current, peer-reviewed articles on liver transplantation, liver surgery, and chronic liver disease — the information necessary to keep abreast of this evolving specialty.
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