杨宁介入医学网

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...

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...

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...

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...