Liu QJ, Cao XF, Pei Y, Li X, Dong GX, Wang CM. Stent fracture after transjugular intrahepatic portosystemic shunt placement using the bare metal stent/stent-graft combination technique. World J Gastrointest Surg 2023; 15(10): 2133-2141 [PMID: 37969720 DOI: 10.4240/wjgs.v15.i10.2133]
Corresponding Author of This Article
Chang-Ming Wang, MD, Surgeon, Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, No. 49 North Garden Rd., Haidian District, Beijing 100191, China. wcmwy@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Oct 27, 2023; 15(10): 2133-2141 Published online Oct 27, 2023. doi: 10.4240/wjgs.v15.i10.2133
Stent fracture after transjugular intrahepatic portosystemic shunt placement using the bare metal stent/stent-graft combination technique
Qi-Jia Liu, Xiao-Feng Cao, Yun Pei, Xuan Li, Guo-Xiang Dong, Chang-Ming Wang
Qi-Jia Liu, Yun Pei, Xuan Li, Guo-Xiang Dong, Chang-Ming Wang, Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China
Xiao-Feng Cao, Department of Interventional Therapy, Yangquan First People’s Hospital, Yangquan 045000, Shanxi Province, China
Author contributions: Liu QJ and Wang CM conceptualized and designed the study; Liu QJ, Cao XF, and Pei Y collected data and carried out the initial analyses; Liu QJ drafted the initial manuscript; Li X, Dong GX, and Wang CM reviewed and revised the manuscript; Wang CM coordinated and supervised questionnaires collection, and critically reviewed the manuscript for important intellectual content; All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer.
Informed consent statement: As the study used anonymous and pre-existing data, the requirement for the informed consent from patients was waived.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
Data sharing statement: No additional data available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang-Ming Wang, MD, Surgeon, Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, No. 49 North Garden Rd., Haidian District, Beijing 100191, China. wcmwy@163.com
Received: May 18, 2023 Peer-review started: May 18, 2023 First decision: August 10, 2023 Revised: August 22, 2023 Accepted: September 12, 2023 Article in press: September 12, 2023 Published online: October 27, 2023
ARTICLE HIGHLIGHTS
Research background
Transjugular intrahepatic portosystemic shunt (TIPS) placement is widely used to treat portal hypertension. In China, TIPSs are frequently constructed using the bare metal stent (BMS)/stent-graft combination technique.
Research motivation
Stent fracture is a rare complication after TIPS placement using the BMS/stent-graft combination technique and stent fracture may cause severe consequences.
Research objectives
To assess the incidence of stent fracture after TIPS placement using the BMS/stent-graft combination technique and identify the risk factors for stent fracture.
Research methods
Retrospective cohort study.
Research results
Of the 68 included patients, stent fracture occurred in seven (10.3%) patients. The risk factors for stent fracture were the implantation of a greater number of stents [adjusted odds ratio (aOR) = 22.2, 95% confidence interval (CI): 1.2-415.4, P = 0.038] and a larger proximal sagittal stent bending angle (aOR = 1.1, 95%CI: 1.0-1.3, P = 0.020).
Research conclusions
We found three types of stent fracture occurred in 10.3% of the sample patients. The number of implanted stents and the stent bending angle at the inferior vena cava end were the independent risk factor of stent fracture.
Research perspectives
Our results suggested that the incidence of stent fracture could potentially be reduced by procedural modifications.
