杨宁介入医学网

Abstract These guidelines on transjugular intrahepatic portosystemic stent-shunt (TIPSS) in the management of portal hypertension have been commissioned by the Clinical Services and Standards Committee (CSSC) of the British Society of Gast...

Despite its minimally invasive nature, TIPS inevitably cause stress on the liver due to the parenchymal injury and diversion of already compromised portal blood flow. 尽管TIPS具有微创性，但由于（本身肝的）实质损伤和已经受损的门静脉血流的转...

TIPS广泛推广的最主要的限制是脑病和分流的长期并发症。已经设计了几项技术改良来致力于解决这些问题。 肝内的分流很容易在技术上获得成功......

应通过已置入门静脉主支深部的10F导管鞘插入行胃冠状静脉等侧支循环的导管。这是因为导管鞘使导管可自由移动，通过这一导管鞘还可以取出被意外释放的弹簧栓子，而不影响门静脉插管本身。超硬导丝还可通过该10F导管鞘平行于5－6.5F导管插入肠系膜上静脉...

TIPS 并发症有些是致命的，与操作相关的死亡率0 to 2%（1），30天的死亡率7 to 45%（2）并发症可以分为3类 1. 技术并发症 2.门腔分流建立相关并发症 3.TIPS独有并发症 技术并发症包括气胸、动静脉瘘形成、支撑架移位、心率失常、肝动脉破裂，胆囊和胆管穿孔....

关于标记门静脉 在长期的临床应用中，TIPS介入医生始终在尝试，使这一基本靠蒙的盲目的的操作，变得更为有目标性，从而缩短操作时间并增加其安全性。用于穿刺门静脉标记方法包括术前经皮门脉内植入标志物，作为经颈静脉穿刺门静脉的方向标志；实时超声引导，...

Controlled expansion stents: 控制扩张支架： Recently, a new controlled expansion stent has been introduced into clinical practice by Gore and associates (Viatorr controlled expansion endoprosthesis; VCX, Flagstaff, AZ, United States), whic...

Target PSPG reduction and passive expansion of under dilated TIPS stents: It has been found that barring few exceptions, patients with de novo or worsening HE after TIPS had PSPG of 12 mmHg, while those with rebleeding often had stent dysf...

In advanced stages of cirrhosis, structural, and functional cardiac abnormalities occur. 在肝硬化的晚期，会发生结构上和功能上的心脏异常。 This cirrhosis associated cardiomyopathy (CCM) leads to impaired contractile responsiveness to stress...

Initial studies identified advanced age as an independent predictor of early mortality after TIPS, attributing it to age-related physiologic decline in hepatic functional reserve, which might not be picked up on routine laboratory tests[16...