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World J Gastroenterol. Jan 21, 2014; 20(3): 774-785
Published online Jan 21, 2014. doi: 10.3748/wjg.v20.i3.774
Published online Jan 21, 2014. doi: 10.3748/wjg.v20.i3.774
Shunting branch of portal vein and stent position predict survival after transjugular intrahepatic portosystemic shunt
Ming Bai, Chuang-Ye He, Xing-Shun Qi, Zhan-Xin Yin, Wen-Gang Guo, Jing Niu, Jie-Lai Xia, Zhuo-Li Zhang, Kai-Chun Wu, Dai-Ming Fan, Guo-Hong Han, Department of Liver Disease and Department of Digestive Interventional Radiology, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Jian-Hong Wang, Kai-Chun Wu, Dai-Ming Fan, Department of Ultrasound, Xijing Hospital of Digestive Diseases, Xi’an 710032, Shaanxi Province, China
Kai-Chun Wu, Dai-Ming Fan, Xijing Hospital of Digestive Diseases, Xi’an 710032, Shaanxi Province, China
Zhuo-Li Zhang, Andrew C Larson, Department of Radiology, Xijing Hospital, Xi’an 710032, Shaanxi Province, China
Jie-Lai Xia, Department of Medical Statistics, Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China
Zhuo-Li Zhang, Andrew C Larson, Department of Radiology, Northwestern University, Chicago, IL60208, United States
Author contributions: Bai M, Han GH, Wu KC and Fan DM designed the research; Bai M, Han GH, He CY, Qi XS, Yin ZX, Wang JH, Guo WG and Niu J performed the research; Bai M and Xia JL analyzed the data; Bai M, Han GH and Fan DM wrote the paper; Han GH, Zhang ZL, Larson AC, Wu KC and Fan DM revised the paper.
Correspondence to: Guo-Hong Han, MD, Department of Liver Disease and Department of Digestive Interventional Radiology, Xijing Hospital of Digestive Diseases, Fourth Military Medical University, No. 127 West Changle Road, Xi’an 710032, Shaanxi Province, China. hangh2009@gmail.com
Telephone: +86-29-82539041 Fax: +86-29-82539041
Received: August 28, 2013
Revised: October 22, 2013
Accepted: November 1, 2013
Published online: January 21, 2014
Revised: October 22, 2013
Accepted: November 1, 2013
Published online: January 21, 2014
Core Tip
Core tip: This study reported the long-term follow-up results of a large cohort of cirrhotic patients who underwent transjugular intrahepatic portosystemic shunt (TIPS) for variceal bleeding. The results demonstrated that the use of the left portal vein (PV) during the TIPS procedure could reduce post-TIPS hepatic encephalopathy risk and improve patient survival when compared to the use of the right PV, and that the deployment of a stent with optimal stent position could reduce the incidence of shunt dysfunction and benefit patient survival when compared to the deployment of a stent with suboptimal stent position.