Endovascular Management of Refractory Hepatic Encephalopathy Complication of Transjugular Intrahepatic Portosystemic Shunt (TIPS): Comprehensive Review and Clinical Practice Algorithm.

Abstract:

:Transjugular intrahepatic portosystemic shunt (TIPS) has evolved as an effective intervention for treatment of complications of portal hypertension. The use of polytetrafluoroethylene-covered stents have improved the patency of the shunts and diminished the incidence of TIPS dysfunction. However, TIPS-related refractory hepatic encephalopathy (rHE) poses a significant challenge. Approximately 3-7 % of patients with TIPS develop rHE. Refractory hepatic encephalopathy is defined as a recurrent or persistent encephalopathy despite appropriate medical treatment. Hepatic encephalopathy can be an extremely debilitating complication that profoundly affects quality of life. The approach to management of patients with rHE is complex and typically requires collaboration between different specialties. Liver transplantation is the ultimate treatment for rHE; however, the ongoing shortage of organ donation markedly limits this treatment option. Alternative therapies such as shunt occlusion or reduction can control symptoms and serve as a 'bridge' therapy to liver transplantation. Therefore, interventional radiologists play a key role in the management of these patients by offering a variety of endovascular techniques. The purpose of this review is to highlight some of these endovascular techniques and to develop a therapeutic algorithm that can be applied in clinical practice for the management of rHE.

authors

Pereira K,Carrion AF,Salsamendi J,Doshi M,Baker R,Kably I

doi

10.1007/s00270-015-1197-x

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

170-82

issue

2

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-015-1197-x

journal_volume

39

pub_type

杂志文章,评审
  • Percutaneous Fluoroscopic-Guided Creation of Neoanastomosis for the Treatment of Biliary Occlusions.

    abstract:PURPOSE:Complete biliary occlusions at different anatomic locations that are not amenable to surgical, endoscopic, or routine percutaneous methods pose a challenge to physicians. Biliary ductal neoanastomosis technique can play a very important role in solving such clinical problems. MATERIALS:Between October 2004 and...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-020-02544-z

    authors: Habibollahi P,Benjamin JL,X Bai H,Dagli MS,Shlansky-Goldberg RD

    更新日期:2020-11-01 00:00:00

  • Arterial Embolization in the Management of Mesenteric Bleeding Secondary to Blunt Abdominal Trauma.

    abstract:INTRODUCTION:Mesenteric bleeding is a rare but potentially life-threatening complication of blunt abdominal trauma. It can induce active hemorrhage and a compressive hematoma leading to bowel ischemia. Emergency laparotomy remains the gold standard treatment. We aimed to study the effectiveness and complications of emb...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-015-1266-1

    authors: Ghelfi J,Frandon J,Barbois S,Vendrell A,Rodiere M,Sengel C,Bricault I,Arvieux C,Ferretti G,Thony F

    更新日期:2016-05-01 00:00:00

  • Applicability of liquid radiopaque polyurethane for transcatheter embolization.

    abstract::Polyurethane Bayer was tested as an occlusive agent for experimental embolization in postmortem and postnephrectomy kidneys which served as a tumor model. Coaxial and balloon catheters were used for the embolization. To make polyurethane radiopaque, the material was labeled with different water-soluble, oily and solid...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02552764

    authors: Novak D,Wieners H,Rueckner R

    更新日期:1983-01-01 00:00:00

  • improved patency of transjugular intrahepatic portosystemic shunt: the efficacy of cilostazol for the prevention of pseudointimal hyperplasia in swine TIPS models.

    abstract:PURPOSE:To investigate the efficacy of oral administration of cilostazol to inhibit pseudointimal/intimal hyperplasia in swine TIPS models. METHODS:Successful TIPS creation was carried out in 11 of 12 healthy young pigs (20-25 kg). In the treatment group (n = 6), both cilostazol and aspirin were administered daily, fr...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-007-9001-1

    authors: Park SW,Cha IH,Kim CH,Jeon HJ,Park JH,Hong SJ,Lee IS

    更新日期:2007-07-01 00:00:00

  • Catheter-malposition-induced cardiac tamponade via contrast media leakage during computed tomography study.

    abstract::We present a rare case of a central venous catheter-malposition-induced life-threatening cardiac tamponade as a result of computed tomography (CT) with contrast enhancement in an infant with a ventricular septal defect and pulmonary atresia after a modified Blalock-Taussig shunt. The diagnosis was confirmed by chest r...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-004-0340-x

    authors: Liang CD,Ko SF,Huang CF,Chien SJ,Tiao MM

    更新日期:2005-11-01 00:00:00

  • Wireless blood pressure monitoring with a novel implantable device: long-term in vivo results.

    abstract:PURPOSE:Devices constantly tracking the blood pressure (BP) of hypertensive patients are highly desired to facilitate effective patient management and to reduce hospitalization. We report on experiences gathered in a pilot study that was designed to evaluate the prototype of a newly developed, minimally invasive implan...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-014-0842-0

    authors: Cleven NJ,Isfort P,Penzkofer T,Woitok A,Hermanns-Sachweh B,Steinseifer U,Schmitz-Rode T

    更新日期:2014-12-01 00:00:00

  • Pulmonary Arteriovenous Malformations Embolized Using a Micro Vascular Plug System: Technical Note on a Preliminary Experience.

    abstract:AIM:To report our preliminary experience using a Micro Vascular Plug (MVP) deployed through a 2.8Fr micro-catheter for the treatment of pulmonary arteriovenous malformations (PAVMs) in a cohort of patients affected by Hereditary Haemorrhagic Telangiectasia (HHT). MATERIALS AND METHODS:Four consecutive female patients ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-016-1493-0

    authors: Boatta E,Jahn C,Canuet M,Garnon J,Ramamurthy N,Cazzato RL,Gangi A

    更新日期:2017-02-01 00:00:00

  • Use of a Trellis device for endovascular treatment of venous thrombosis involving a duplicated inferior vena cava.

    abstract::Congenital anomalies of the inferior vena cava (IVC) are increasingly recognized with CT and venography techniques. Although many patients with IVC anomalies are asymptomatic, recent studies have suggested an association with venous thromboembolism. We report the case of a 62-year-old woman with extensive venous clot ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-013-0559-5

    authors: Saettele MR,Morelli JN,Chesis P,Wible BC

    更新日期:2013-12-01 00:00:00

  • Removal of T-fasteners 2 days after gastrostomy is feasible.

    abstract::T-fastener gastropexy is widely performed as part of gastrostomy insertion. The current literature recommends removal of T-fasteners at 2 weeks. We present a series of patients in whom T-fasteners were removed at 2 days with no major complications. We removed T-fasteners in 109 patients (male-to-female ratio 59:50, ag...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-008-9473-7

    authors: Foster A,Given M,Thornton E,Geoghegan T,Keeling F,McGrath F,Lee MJ

    更新日期:2009-03-01 00:00:00

  • Use of a snare wire to perform nephrostomy access in the presence of obstructive staghorn calculi.

    abstract::We describe a technique for gaining access to the central collecting system via a chosen calyx, utilizing an alternative entry point to that calyx. An Amplatz nitinol loop snare is then used to convert this access to a traditional approach. ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:

    authors: Nosher JL,Siegel RL,Bodner LJ

    更新日期:1996-05-01 00:00:00

  • CT guided bone biopsy using a battery powered intraosseous device.

    abstract:PURPOSE:To evaluate the feasibility of a battery powered intraosseous device to perform CT-fluoroscopy guided bone biopsy. METHODS:Retrospective analysis of 12 patients in whom bone specimen were acquired from different locations under CT-fluoroscopy guidance using the OnControl bone marrow biopsy system (OBM, Vidacar...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-013-0617-z

    authors: Schnapauff D,Marnitz T,Freyhardt P,Collettini F,Hartwig K,Jöhrens K,Hamm B,Kroencke T,Gebauer B

    更新日期:2013-10-01 00:00:00

  • Renal Sympathetic Denervation by CT-Guided Ethanol Injection: A Phase II Pilot Trial of a Novel Technique.

    abstract:OBJECTIVES:CT-guided ethanol-mediated renal sympathetic denervation in treatment of therapy-resistant hypertension was performed to assess patient safety and collect preliminary data on treatment efficacy. MATERIALS AND METHODS:Eleven patients with therapy-resistant hypertension (blood pressure of >160 mmHg despite th...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-015-1261-6

    authors: Ricke J,Seidensticker M,Becker S,Schiefer J,Adamchic I,Lohfink K,Kandulski M,Heller A,Mertens PR

    更新日期:2016-02-01 00:00:00

  • Hemodynamic effects of high versus low-osmolar contrast media for ventriculography in severe aortic stenosis.

    abstract::The hemodynamic effects of high- (diatrizoate meglumine/sodium) and low- (iopamidol) osmolar contrast administration for left ventriculography were compared in 15 patients with severe aortic valve stenosis. Patients were similar with respect to aortic valve gradient, aortic valve area, age, body surface area, and base...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02577016

    authors: Lambert CR,Pepine CJ

    更新日期:1988-01-01 00:00:00

  • Conversion of non-tunneled to tunneled hemodialysis catheters.

    abstract:PURPOSE:To determine the safety and efficacy of conversion of non-tunneled (temporary) catheters to tunneled catheters in hemodialysis patients. METHODS:A retrospective review of 112 consecutive conversions in 111 patients was performed over a period of 4 years. Fourteen patients were lost to follow-up. The remaining ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-006-0101-0

    authors: Van Ha TG,Fimmen D,Han L,Funaki BS,Santeler S,Lorenz J

    更新日期:2007-03-01 00:00:00

  • Percutaneous balloon dilatation and long-term drainage as treatment of anastomotic and nonanastomotic benign biliary strictures.

    abstract:PURPOSE:This study was designed to determine the effectiveness of percutaneous balloon dilation and long-term drainage of postoperative benign biliary strictures. METHODS:Medical records of patients with postoperative benign biliary strictures, in whom percutaneous transhepatic biliary drainage (PTBD) and balloon dila...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-014-0836-y

    authors: Janssen JJ,van Delden OM,van Lienden KP,Rauws EA,Busch OR,van Gulik TM,Gouma DJ,Laméris JS

    更新日期:2014-12-01 00:00:00

  • Therapeutic consequences of variation in intraarterial pressure measurements after iliac angioplasty.

    abstract:PURPOSE:To assess the accuracy of intraarterial measurement of transstenotic pressure gradients for the detection of hemodynamically suboptimal iliac angioplasty. METHODS:In 14 patients, referred for diagnostic angiography, mean pressure gradients in the aorta and iliac artery were obtained twice, using a double-senso...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s002709900187

    authors: Tetteroo E,Haaring C,van Engelen AD,van der Graaf Y,Mali WP

    更新日期:1997-11-01 00:00:00

  • Treatment of symptomatic pelvic varices by ovarian vein embolization.

    abstract:PURPOSE:Pelvic congestion syndrome is a common cause of chronic pelvic pain in women and its association with venous congestion has been described in the literature. We evaluated the potential benefits of lumbo-ovarian vein embolization in the treatment of lower abdominal pain in patients presenting with pelvic varicos...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s002709900116

    authors: Capasso P,Simons C,Trotteur G,Dondelinger RF,Henroteaux D,Gaspard U

    更新日期:1997-03-01 00:00:00

  • Direct percutaneous embolization of bleeding stomal varices.

    abstract::Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-009-9536-4

    authors: Naidu SG,Castle EP,Kriegshauser JS,Huettl EA

    更新日期:2010-02-01 00:00:00

  • Anatomical observations on the renal veins and inferior vena cava at magnetic resonance angiography.

    abstract:PURPOSE:To describe the renal vein and inferior vena cava (IVC) anatomy found at abdominal magnetic resonance (MR) angiography. METHODS:Gadolinium-enhanced, three-dimensional, time-of-flight MR angiograms of 150 patients were evaluated for the number and configuration of the renal veins, and the number, configuration,...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF00204141

    authors: Kaufman JA,Waltman AC,Rivitz SM,Geller SG

    更新日期:1995-05-01 00:00:00

  • Tolerance of normal aorta to oversized dual balloon valvuloplasty. Observations in a swine model: technical note.

    abstract::The damage threshold during aortic valvuloplasty was determined in 12 normal swine subjected to inflation of oversized dual balloons. Catheters with combined balloon diameters of 1.2-2.0 times the aortic annulus were selected. Following completion of the procedure, the animals were sacrificed and examined for patholog...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02577363

    authors: Moore JW,Laird JR,White CJ,Kirby WC,Ramee SR,Banks AK,Ross TC,Graeber GM,Wahl RC

    更新日期:1990-04-01 00:00:00

  • Segment 2/3 Hypertrophy is Greater When Right Portal Vein Embolisation is Extended to Segment 4 in Patients with Colorectal Liver Metastases: A Retrospective Cohort Study.

    abstract:BACKGROUND:In patients with colorectal cancer liver metastases (CRLM), right portal vein embolisation (RPVE) is used to increase the volume of the future remnant liver (FRL) before major hepatic resection. It is not established whether embolisation of segment 4 in addition RPVE (RPVE + 4) induces greater hypertrophy of...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-018-02159-5

    authors: Hammond CJ,Ali S,Haq H,Luo L,Wyatt JI,Toogood GJ,Lodge JPA,Patel JV

    更新日期:2019-04-01 00:00:00

  • Impact of Genomic Mutation and Timing of Y90 Radioembolization in Colorectal Liver Metastases.

    abstract:PURPOSE:To investigate timing of Yttrium-90 radioembolization (Y90) during treatment course, genomics, and other clinical factors as predictors of overall survival (OS) in colorectal liver metastasis (CRLM) that have progressed on at least one line of chemotherapy. MATERIALS AND METHODS:This was a retrospective study ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00270-020-02463-z

    authors: Dabrowiecki A,Sankhla T,Shinn K,Bercu ZL,Ermentrout M,Shaib W,Cardona K,Newsome J,Kokabi N

    更新日期:2020-07-01 00:00:00

  • Endovascular Stroke Treatment: How Far Downstream Should We Go?

    abstract:BACKGROUND:Endovascular thrombectomy has become the de facto standard in the treatment of large vessel occlusion. Previously, a correlation between good outcome and the occlusion site, measured by the 'distance to thrombus' (DT)-as the distance from the carotid T to the beginning of the thrombus-after thrombolysis coul...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-017-1830-y

    authors: Friedrich B,Lobsien D,Wunderlich S,Maegerlein C,Pree D,Hoffmann KT,Zimmer C,Kaesmacher J

    更新日期:2018-01-01 00:00:00

  • Percutaneous transluminal embolization for improved prognosis of renal cell carcinoma--dependence on tumor stages.

    abstract::The effect of percutaneous transluminal embolization (PTE) on the prognosis of renal cell carcinoma, depending on tumor stage, was retrospectively investigated on 303 patients. The life-table method was used for statistical comparison of survival rates of preoperatively or palliatively embolized patients with those of...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02577067

    authors: Stoesslein F,Schwenke A,Muenster W

    更新日期:1988-04-01 00:00:00

  • Endovascular treatment of epistaxis: indications, management, and outcome.

    abstract:OBJECTIVE:Epistaxis is a common clinical problem, and the majority of bleedings can be managed conservatively. However, due to extensive and sometimes life-threatening bleeding, further treatment, such as superselective embolization, may be required. We report our experience with endovascular treatment of life-threaten...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-011-0155-5

    authors: Strach K,Schröck A,Wilhelm K,Greschus S,Tschampa H,Möhlenbruch M,Naehle CP,Jakob M,Gerstner AO,Bootz F,Schild HH,Urbach H

    更新日期:2011-12-01 00:00:00

  • Palliation of esophageal cancer with a double-layered covered nitinol stent: long-term outcomes and predictors of stent migration and patient survival.

    abstract:PURPOSE:To evaluate the long-term clinical outcomes and the negative predictors after the deployment of double-layered stents in malignant esophageal strictures. METHODS:This is a single-center study of patients who received a double-layered covered stent for the palliation of dysphagia due to malignant esophageal str...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-013-0829-2

    authors: Mezes P,Krokidis ME,Katsanos K,Spiliopoulos S,Sabharwal T,Adam A

    更新日期:2014-12-01 00:00:00

  • Bilateral renal artery aneurysm: percutaneous treatment with stent-graft placement.

    abstract::A 51-year-old man with an 8-year history of hypertension (170/115 mmHg with two drugs) and altered renal function (5.6 mg/dl serum creatinine, 101 mg/dl BUN) was referred to our Department to evaluate the renal arteries and rule out renovascular hypertension. Doppler ultrasound and magnetic resonance angiography revea...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-004-8209-6

    authors: Gandini R,Spinelli A,Pampana E,Fabiano S,Pendenza G,Simonetti G

    更新日期:2006-09-01 00:00:00

  • Interventional radiological procedures in impaired function of surgically implanted catheter-port systems.

    abstract:PURPOSE:System-related complications in surgically implanted catheter-port systems (CPS) for intraarterial (i.a.) chemotherapy are well known. In most cases of complications, the treatment must be interrupted and the catheter-port system must be repaired surgically. We describe microinvasive interventional radiological...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s002700001714

    authors: Herrmann KA,Waggershauser T,Heinemann V,Reiser M

    更新日期:2001-01-01 00:00:00

  • Comparison of computed tomography and cineangiography in the demonstration of central pulmonary arteries in cyanotic congenital heart disease.

    abstract:PURPOSE:To assess the diagnostic accuracy of contrast-enhanced computed tomography (CT) for central pulmonary artery pathology in patients with cyanotic congenital heart disease (CCHD) and right ventricular outflow obstruction. METHODS:We compared contrast-enhanced CT and cine pulmonary arteriography in 24 patients in...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02563901

    authors: Taneja K,Sharma S,Kumar K,Rajani M

    更新日期:1996-03-01 00:00:00

  • Successful Portal Vein Stent Placement in a Child with Cavernomatous Replacement of the Portal Vein After Partial Liver Transplantation: The Importance of a Recognizable Portal Vein Remnant.

    abstract::Late portal vein thrombosis with cavernomatous replacement has been reported in 4.5% of pediatric patients who have undergone partial liver transplantation. In such cases, minimally invasive radiological treatments have a high failure rate. We report a successful case of percutaneous recanalization of the portal vein ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-015-1084-5

    authors: Miraglia R,Maruzzelli L,Caruso S,Ricotta C,Riva S,Burgio G,Spada M,Luca A

    更新日期:2015-12-01 00:00:00