Erschienen in:
01.08.2013 | Clinical Investigation
Transjugular Intrahepatic Portosystemic Shunt for Treatment of Cirrhosis-related Chylothorax and Chylous Ascites: Single-institution Retrospective Experience
verfasst von:
Steven G. Kikolski, Hamed Aryafar, Steven C. Rose, Anne C. Roberts, Thomas B. Kinney
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 4/2013
Einloggen, um Zugang zu erhalten
Abstract
Purpose
To investigate the efficacy and safety of the use of transjugular intrahepatic portosystemic shunt (TIPS) creation to treat cirrhosis-related chylous collections (chylothorax and chylous ascites).
Methods
We retrospectively reviewed data from four patients treated for refractory cirrhosis-related chylous collections with TIPS at our institution over an 8 year period.
Results
One patient had chylothorax, and three patients had concomitant chylothorax and chylous ascites. There were no major complications, and the only procedure-related complications occurred in two patients who had mild, treatable hepatic encephalopathy. All patients had improvement as defined by decreased need for thoracentesis or paracentesis, with postprocedure follow-up ranging from 19 to 491 days.
Conclusion
TIPS is a safe procedure that is effective in the treatment of cirrhosis-related chylous collections.