Published online Feb 14, 2014. doi: 10.3748/wjg.v20.i6.1602
Revised: November 13, 2013
Accepted: December 12, 2013
Published online: February 14, 2014
Core tip: Tumor thrombus invasion of portal veins is very common in advanced hepatocellular carcinoma patients, especially in the patients presenting with upper gastrointestinal hemorrhage. Transjugular intrahepatic portosystemic shunt (TIPS) with bare stents has been attempted to treat those patients. We choose Fluency stent (Bard Inc, Germany) in this study, and our primary experience showed that the efficacy of TIPS with covered stents is favorable for treatment of complications related to portal hypertension due to tumor thrombus invasion in the main portal vein. Significant improvement of symptoms was observed in all the patients. The patency rate was 100%.