J Korean Radiol Soc.
1995 Jul;33(1):67-72.
Procedure-Related Complications of Transjugular Intrahepatic Portosystemic Shunt (TIPS) and Its Clinical Significance
Abstract
- PURPOSE
The purpose was to evaluate the procedure-related complications of the TIPS and its clinical significance.
MATERIALS AND METHODS
The materials consisted of 52 patients who had 57 TIPS procedures for the management
of variceal bleeding due to portal hypertension. To detect the occurrence of complications during
transhepatic needle puncture(from hepatic vein to the portal vein), contrast material was injected with the
withdrawl of the puncture needle.
RESULTS
Procedure-related complications occurred in 28 patients (54%) among 52 patients. The corn
lications were biliary tree puncture(15 cases), transperitoneal puncture(14 cases), stent malposition(3 cases)
stent migration(1 case), hepatic arteries puncture(1 case), splenic vein perforation(1 case), and paroxysmal
tricular tachycardia(1 case). Three patients had acute stent thrombosis with rebleeding immediately after
procedure. The procedure was repeated in two patients. One patient was expired due to rebleeding.
CONCLUSION
The procedure related complications were clinically insignificant in most instances,
when stent thrombosis or proxysmal ventricular tachycardia was developed.