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  • First experience of transjugular intrahepatic portosystemic shunting (TIPS) in patients with complicated form of portal hypertension

    Редакция | 2014, PM Dermatovenerology. Cosmetology. Exchange of experience, Practical medicine 08 (14) Dermatovenerology. Cosmetology | 15 октября, 2014

    V.V. GLINKIN, E.Sh. MAKARIMOV, M.M. MINNULLIN, A.Kh. ODINTSOVA, I.V. ZAYNULLIN, A.A. VANYUSHIN, K.A. MALYKIN, N.R. MUNIROVA

    Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy trakt, Kazan, Russian Federation, 420063

    Glinkin V.V. — radiologist, Head of the Department of X-ray-surgical methods of diagnosis and treatment, tel. (843) 237-34-80, e-mail: vladimir-glinkin@yandex.ru

    Makarimov E.Sh. — surgeon of the Department of X-ray-surgical methods of diagnosis and treatment, tel. (843) 237-34-80

    Minnullin M.M. — Cand. Med. Sc., Deputy Chief Doctor on Medical Work, tel. (843) 237-35-07

    Odintsova A.Kh. — Cand. Med. Sc., Head of the Gastroenterology Department, tel. (843) 237-36-27

    Zaynullin I.V. — surgeon, Head of the Abdominal Surgery Department, tel. (843) 237-34-97

    Vanyushin A.A. — anesthesiologist-resuscitator, Head of the Intensive Care Unit № 1, tel. (843) 237-35-57

    Malykin K.A. — anesthesiologist-resuscitator, Head of the Anesthesiology Department, tel. (843) 237-33-40

    Munirova N.R. — radiologist, MRI and CT Department, tel. (843) 237-34-92 

    The article presents the first experience of the complicated portal hypertension syndrome treatment by transjugular intrahepatic portosystemic stent (TIPS). 3 patients with Class B and C (Child-Turcotte-Pugh classification) were successfully operated. Patients were discharged from the hospital in 4-7 days. Mortality was 33% (1 patient) due to decompensation of liver cell failure. The other two patients were followed for up to 2 months. Their condition is satisfactory, shunts are passable. Further expansion of indications for TIPS is expected.

    Key words: liver cirrhosis, portal hypertension syndrome, bleeding from varices of the esophagus and stomach, transjugular intrahepatic portosystemic stent — TIPS, stent-graft.

     

     

    REFERENCES

    1. Sherlok Sh., Duli D.Zh. Zabolevaniya pecheni i zhelchnykh putey [Diseases of the liver and biliary tract]. Moscow: GEOTAR-MED, 2002. Pp. 162-189.

    2. Shipovskiy V.N., Tsitsiashvilli M.Sh., Khuan A. et al. Why a stent-graft to improve the results of TIPS? Diagnosticheskaya i interventsionnaya radiologiya, 2009, vol. 3, no. 4, pp. 51-64 (in Russ.).

    3. Shipovskiy V.N. Tekhnika operatsii TIPS. Prakticheskoe rukovodstvo [Surgical technique TIPS. A Practical Guide]. Moscow: I.V. Balabanov, 2010. 88 p.: il.

    4. Sukhorukov V.V., Krugomov A.V., Trofimov S.I. et al. Operatsiya TIPS pri oslozhnennykh formakh portal’noy gipertenzii [Operation TIPS in complicated forms of portal hypertension]. Po materialam konferentsii “Rentgenendovaskulyarnaya pomoshch’ v Povolzh»e”, 20-21 iyunya, 2013. Samara.

    5. Nartaylakov M.A., Mukhamed’yanov I.F., Ziyazetdinov R.N. Nash opyt vypolneniya operatsii TIPS [Our experience of the operation TIPS]. Po materialam konferentsii “Rentgenendovaskulyarnaya pomoshch’ v Povolzh»e”, 20-21 iyunya, 2013. Samara.

    Метки: A.A. VANYUSHIN, A.Kh. ODINTSOVA, bleeding from varices of the esophagus and stomach, E.Sh. MAKARIMOV, I.V. ZAYNULLIN, K.A. MALYKIN, liver cirrhosis, M.M. MINNULLIN, N.R. MUNIROVA, portal hypertension syndrome, Practical medicine 08 (14) Dermatovenerology. Cosmetology, stent-graft, transjugular intrahepatic portosystemic stent - TIPS, V.V. GLINKIN

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