[1]李松蔚,李迎春,闫 东,等.Fluency覆膜支架行TIPS术后支架狭窄原因分析[J].介入放射学杂志,2015,(12):1047-1051.
 LI Song- wei,LI Ying- chun,YAN Dong,et al.Transjugular intrahepatic portosystemic shunt with Fluency covered stent: analysis of the causes of stent stenosis[J].journal interventional radiology,2015,(12):1047-1051.
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Fluency覆膜支架行TIPS术后支架狭窄原因分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年12期
页码:
1047-1051
栏目:
血管介入
出版日期:
2015-12-25

文章信息/Info

Title:
Transjugular intrahepatic portosystemic shunt with Fluency covered stent: analysis of the causes of stent stenosis
作者:
李松蔚 李迎春 闫 东 王家平 赵睿敏 童玉云 姜 华 李 琳 赵 洁 谢雯钰
Author(s):
LI Song- wei LI Ying- chun YAN Dong WANG Jia- ping ZHAO Rui- min TONG Yu- yun JIANG Hua LI Lin ZHAO Jie XIE Wen- yu
Department of Interventional Radiology, Second Affiliate Hospital of Kunming Medical University, Kunming, Yunnan Province 650101, China
关键词:
【关键词】 门静脉高压症 经颈静脉肝内门体分流 Fluency覆膜支架 支架狭窄
文献标志码:
A
摘要:
【摘要】 目的 分析Fluency覆膜支架行经颈静脉肝内门体分流术(TIPS)后支架狭窄发生原因,探讨术中支架最佳释放位置,以进一步提高临床疗效。方法 收集2008年6月至2012年6月采用Fluency覆膜支架行TIPS治疗的肝硬化门静脉高压症患者124例,术中均仅接受1枚Fluency覆膜支架,且支架直径均为8 cm。术后3个月、6个月、1、2、3、4、5年定期随访行超声及多层螺旋CT检查,根据分流道狭窄诊断标准评估是否存在支架功能障碍及门静脉高压复发,必要时行直接门静脉造影,球囊扩张或支架植入修复分流道。结果 124例患者手术成功率为100%,术后门静脉内径和门静脉压力均显著降低。随访期间共有35例患者(28.23%)发生支架狭窄,其中22例为肝静脉端狭窄,12例为门静脉端狭窄,1例为支架完全闭塞;经门静脉右支分流术后支架狭窄发生率为35.62%(26/73),经门静脉左支分流术后支架狭窄发生率为17.65%(9/51),两者间差异有统计学意义(P=0.029)。结论 Fluency覆膜支架行TIPS术后支架狭窄多发生在支架两端,与分流道位置选择、支架长度、支架成角角度、释放位置等因素相关,高发时间窗为术后6~24个月。选择门静脉左支分流、最合适支架尺寸并精准释放,可降低术后支架狭窄发生率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2015-06-08)
(本文编辑:边 佶)
更新日期/Last Update: 2015-12-24