杨宁介入医学网

TIPS简介 经颈静脉门腔静脉分流术(Transjugular Intrahepatic Portosystemic Shunt,TIPS)是通过微创伤方法，创造一个门静脉与腔静脉之间的分流通道，以降低过高的门静脉压力。在经颈内静脉穿刺后，导管及导丝在透视的引导监视下通过上腔静脉、右心房和......

Non-tumoral PVT is the most common thrombotic event in patients with cirrhosis, with an annual incidence of up to 12%[127,128]. 非肿瘤性PVT是肝硬化患者中最常见的血栓性事件，每年的发病率高达12%的[127,128]。 Asymptomatic presentation is commo...

第一阶段：在国际上少数的医疗中心进行的小型的、试验性的、可行性研究。 Rosch Dr. Josef Rsch 纪念一个人到底能多久？不知道！但从事经颈静脉门腔静脉分流术的介入放射医生都应该永远感恩于上面照片里的那个人和他的同事。 关于经颈静脉门腔静脉分流术的原...

Hepatic cirrhosis is a chronic disease histologically characterized by the presence of regenerative nodules surrounded by diffuse fibrosis(21). 肝硬化是一种慢性疾病，其组织学特征是弥漫性再生结节周围的纤维化（21）。 It is the common final s...

Acute variceal bleeding (AVB), which accounts for 70% of all upper gastrointestinal bleeding episodes in cirrhosis,[1] has been identified as a common cause of death in patients with cirrhosis, with a 6-week mortality around 20%. 急性静脉...

Optimal stent diameter The 8-mm vs 10-mm debate: The availability of covered stents for TIPS has significantly reduced the incidence of stent dysfunction with attendant improvement in patient outcomes[206]. 最佳支架直径 8mm和10mm的争论：覆...

为什么？ 因为：静脉曲张出血的继发性预防：在急性静脉曲张出血后存活下来的患者有再出血和死亡的高风险。未经治疗的患者的1年的VH复发率约为60%，死亡率接近30%【1】 表：已经报告防止静脉曲张再出血不同治疗的随机对照死亡率和再出血率 EIS=endoscopic inj...

Complications of portal hypertension, including ascites, gastrointestinal bleeding, hepatic hydrothorax, and hepatic encephalopathy, are associated with significant morbidity and mortality. 门脉高压的并发症，包括腹水、胃肠出血、肝性胸水和...

In patients who have gastro-oesophageal variceal bleeding refractory to endoscopic and drug therapy as defined by Baveno 6 critera,32 transjugular intrahepatic portosystemic stent-shunt (TIPSS) is recommended (strong recommendation, modera...

The role of early or pre-emptive TIPSS in acute variceal bleeding in view of the conflicting evidence and uncertainly about patient selection. 鉴于相互矛盾的证据和不确定的患者选择，早期或先发制人的TIPSS在急性静脉曲张出血中的作用。 Large mu...