ISSN: 1859 - 2872
The role of MDCT portography for the selection and planning of transjugular intrahepatic portosystemic shunt procedure in cirrhotic patients
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Abstract
Objective: To decide the role of MDCT portography for the selection and planning of transjugular intrahepatic portosystemic shunt (TIPS) procedure in cirrhotic patients. Subject and method: 71 cirrhotic patients who met the TIPS procedural criteria for the treatment of bleeding and prevention of rebleeding due to rupture of gastroesophageal varices. They were screened by MDCT at 108 Military Central Hospital and Phu Tho Provincial General Hospital from October, 2013 to July, 2020. Result: The rate of patients underwent TIPS was 70.4% and 29.6% was not. The majority of patients with non-TIPS procedure was due to the changes of morphology of the liver and portal vein with the rate was 38.1%. The shunt planning from right hepatic vein to right branch of portal vein was 92% of patients, where as this shunt direction was performed for 70% of patients. The mean number of portal vein puntures was 2.0 ± 0.9. Subcapsular hematoma was the major complication with the rate of 22.9%. Conclusion: MDCT portography had the reliable role for the selection and the planning of TIPS procedure in cirrhotic patients.
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References
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