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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2023; 15(10): 2133-2141
Published online Oct 27, 2023. doi: 10.4240/wjgs.v15.i10.2133
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, 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
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
Core Tip
Core Tip: The bare metal stent (BMS)/stent-graft combination technique for transjugular intrahepatic portosystemic shunt construction has an incidence of stent fractures of around 10%, which all occurred at the junction of BMS and the proximal end of the stent-graft. Fractures may be associated with the number of stents implanted and stent excessive bending. Hence, we recommend a greater overlap of the stent-graft with the BMS at the inferior vena cava (IVC) end of the shunt, and the selection of a position closer to the opening of the hepatic vein into the IVC as the starting puncture site to establish a shunt.