Transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound vs fluoroscopic guidance: A dual-institution retrospective comparative study

doi:10.4254/wjh.v17.i5.106892

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May 27, 2025 (publication date) through Jun 5, 2025

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Hepatol. May 27, 2025; 17(5): 106892
Published online May 27, 2025. doi: 10.4254/wjh.v17.i5.106892

Table 1 Baseline clinical characteristics, n (%)

Variables	cTIPS (n = 135)	iTIPS (n = 66)	P value
Age (years), mean ± SD	58 ± 11	56 ± 10	0.39
Sex (male)	77 (57)	41 (62)	0.54
Ethnicity	-	-	< 0.0001
Non-Hispanic White	113 (84)	37 (56)	-
Hispanic/Latino	7 (5)	25 (38)	-
African American	7 (5)	0 (0)	-
Asian	8 (6)	4 (6)	-
TIPS indication	-	-	0.87
Variceal bleeding	33 (24)	19 (29)	-
Refractory ascites	81 (60)	38 (58)	-
Hepatic hydrothorax	12 (9)	6 (9)	-
Other	9 (7)	3 (4)	-
MELD-Na, mean ± SD	17 ± 14	16 ± 5	0.25
Etiology of liver disease	-	-	0.003
HBV/HCV	26 (19)	26 (39)	-
Alcohol	38 (28)	22 (33)	-
NASH	36 (27)	10 (15)	-
Other	35 (26)	8 (12)	-
PSG Pre-TIPS (mmHg), mean ± SD	18 ± 6	18 ± 4	0.29
PSG Post-TIPS (mmHg), mean ± SD	7 ± 3	6 ± 2	0.13
Final stent diameter (mm)	-	-	0.004
6	1 (1)	2 (3)	-
7	0 (0)	2 (3)	-
8	83 (61)	51 (77)	-
9	6 (4)	3 (5)	-
10	40 (30)	8 (12)	-
Not documented	5 (4)	0 (0)	-

cTIPS: Conventional fluoroscopic-guided transjugular intrahepatic portosystemic shunt; iTIPS: Intravascular ultrasound-guided transjugular intrahepatic portosystemic shunt; TIPS: Transjugular intrahepatic portosystemic shunt; MELD-Na: Model for end-stage liver disease (including serum sodium); HBV: Hepatitis B virus; HCV: Hepatitis C virus; NASH: Non-alcoholic steatohepatitis; PSG: Portosystemic gradient.

Citation: Hung ML, Jairam A, Carr M, Berman ZT, Taddonio M, Minocha J, Aryafar H, Mondschein JI, Soulen MC, Nadolski GJ, Redmond J. Transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound vs fluoroscopic guidance: A dual-institution retrospective comparative study. World J Hepatol 2025; 17(5): 106892
URL: https://www.wjgnet.com/1948-5182/full/v17/i5/106892.htm
DOI: https://dx.doi.org/10.4254/wjh.v17.i5.106892