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中华消化病与影像杂志(电子版) ›› 2024, Vol. 14 ›› Issue (03) : 193 -196. doi: 10.3877/cma.j.issn.2095-2015.2024.03.001

专家论坛

从国内专家共识推荐意见更新探讨经颈静脉肝内门体分流术的临床应用进展
戚泽雪1, 赵连晖2, 王广川3, 张春清1,()   
  1. 1. 250021 济南,山东大学,山东省立医院;250021 济南,山东第一医科大学附属省立医院消化内科
    2. 250021 济南,山东大学齐鲁医院感染性疾病科
    3. 250021 济南,山东第一医科大学附属省立医院消化内科
  • 收稿日期:2023-11-20 出版日期:2024-06-01
  • 通信作者: 张春清
  • 基金资助:
    国家自然科学基金(81970533); 山东省自然科学基金(ZR2022ZD21)

Discuss of the progress of clinical application of transjugular intrahepatic portal shunt from domestic expert consensus recommendation

Zexue Qi1, Lianhui Zhao2, Guangchuan Wang3, Chunqing Zhang1,()   

  1. 1. Shandong Provincial Hospital, Shandong University, Jinan 250021, China; Department of Gastroenterology, Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
    2. Department of Infectious Diseases, Qilu Hospital, Shandong University, Jinan 250021, China
    3. Department of Gastroenterology, Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
  • Received:2023-11-20 Published:2024-06-01
  • Corresponding author: Chunqing Zhang
引用本文:

戚泽雪, 赵连晖, 王广川, 张春清. 从国内专家共识推荐意见更新探讨经颈静脉肝内门体分流术的临床应用进展[J]. 中华消化病与影像杂志(电子版), 2024, 14(03): 193-196.

Zexue Qi, Lianhui Zhao, Guangchuan Wang, Chunqing Zhang. Discuss of the progress of clinical application of transjugular intrahepatic portal shunt from domestic expert consensus recommendation[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2024, 14(03): 193-196.

经颈静脉肝内门体分流术是治疗肝硬化门静脉高压及其并发症的关键治疗策略之一。本文主要结合国内四版相关指南和专家共识的推荐意见更新趋势,比较并总结经颈静脉肝内门体分流术在国内的临床应用进展。

Transjugular intrahepatic portosystemic shunt (TIPS) is one of the key therapeutic strategies for the treatment of portal hypertension and its complications in liver cirrhosis. In this paper, we compare and summarize the progress of clinical application of TIPS in China, taking into account the updated trend of recommendations in 4 editions of domestic guidelines.

[1]
GARCIA-TSAO G, ABRALDES JG, BERZIGOTTI A, et al. Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the study of liver diseases[J]. Hepatology, 2017, 65(1): 310-335.
[2]
TsochatzisEA, BOSCH J, Burroughs AK. Liver cirrhosis[J]. Lancet 2014, 383(9930): 1749-1761.
[3]
Boyer TD, Haskal ZJ, American Association for the Study of Liver Diseases. The Role of Transjugular Intrahepatic Portosystemic Shunt(TIPS) in the Management of Portal Hypertension: update 2009[J]. Hepatology, 2010, 51(1): 306.
[4]
RichterI GM, Palmaz JC, Noldge G, et al. The transjugular intrahepatic portosystemic stent-shunt. A new nonsurgical percutaneous method[J]. Radiologe, 1989, 29(8): 406-411.
[5]
中华医学会消化病学分会消化介入学组. 经颈静脉肝内门体静脉分流术治疗肝硬化门静脉高压共识意见[J]. 临床肝胆病杂志, 2014, 30(3): 210-3.
[6]
陈辉, 吕勇, 王秋和, 等. 经颈静脉肝内门体分流术专家共识[J]. 临床肝胆病杂志, 2017, 33(7): 1218-28.
[7]
曹家伟, 丁鹏绪, 段峰, 等. 中国门静脉高压经颈静脉肝内门体分流术临床实践指南(2019年版)[J]. 临床肝胆病杂志, 2019, 35(12): 2694-9.
[8]
中华医学会消化病学分会微创介入协作组. 经颈静脉肝内门体静脉分流术治疗门静脉高压专家共识(2022年版)[J]. 中华肝脏病杂志, 2022,(12): 1349-64.
[9]
DE Franchis R, Baveno VIF. Expanding consensus in portal hypertension: Report of the Baveno VI Consensus Workshop: Stratifying risk and individualizing care for portal hypertension[J]. J Hepatol, 2015, 63(3): 743-752.
[10]
Burroughs AK, Vangeli M. Transjugular intrahepatic portosystemic shunt versus endoscopic therapy: randomized trials for secondary prophylaxis of variceal bleeding: an updated meta-analysis[J]. Scand J Gastroenterol, 2002, 37(3): 249-252.
[11]
Rossle M, Gerbes AL. TIPS for the treatment of refractory ascites, hepatorenal syndrome and hepatic hydrothorax: a critical update[J]. Gut, 2010, 59(7): 988-1000.
[12]
Spencer EB, Cohen DT, Darcy MD. Safety and efficacy of transjugular intrahepatic portosystemic shunt creation for the treatment of hepatic hydrothorax[J]. J Vasc Interv Radiol, 2002, 13(4): 385-390.
[13]
Brensing KA, Textor J, Perz J, et al. Long term outcome after transjugular intrahepatic portosystemic stent-shunt in non-transplant cirrhotics with hepatorenal syndrome: a phase II study[J]. Gut, 2000, 47(2): 288-295.
[14]
Seijo S, Plessier A, Hoekstra J, et al. Good long-term outcome of Budd-Chiari syndrome with a step-wise management[J]. Hepatology, 2013, 57(5): 1962-1968.
[15]
Van Ha TG, Hodge J, Funaki B, et al. Transjugular intrahepatic portosystemic shunt placement in patients with cirrhosis and concomitant portal vein thrombosis[J]. Cardiovasc Intervent Radiol, 2006, 29(5): 785-790.
[16]
Trebicka J, Gu W, Ibanez-Samaniego L, et al. Rebleeding and mortality risk are increased by ACLF but reduced by pre-emptive TIPS[J]. J Hepatol, 2020, 73(5): 1082-1091.
[17]
Nicoara-Farcau O, Han G, Rudler M, et al. Effects of Early Placement of Transjugular Portosystemic Shunts in Patients With High-Risk Acute Variceal Bleeding: a Meta-analysis of Individual Patient Data[J]. Gastroenterology, 2021, 160(1): 193-205 e10.
[18]
Bureau C, Thabut D, Oberti F, et al. Transjugular Intrahepatic Portosystemic Shunts With Covered Stents Increase Transplant-Free Survival of Patients With Cirrhosis and Recurrent Ascites[J]. Gastroenterology, 2017, 152(1): 157-163.
[19]
Abralbes JG, Tarantino I, Turnes J, et al. Hemodynamic response to pharmacological treatment of portal hypertension and long-term prognosis of cirrhosis[J]. Hepatology, 2003, 37(4): 902-908.
[20]
Zhang M, Wang G, Zhao L, et al. Second prophylaxis of variceal bleeding in cirrhotic patients with a high HVPG[J]. Scand J Gastroenterol, 2016, 51(12): 1502-1506.
[21]
Lv Y, Qi X, He C, et al. Covered TIPS versus endoscopic band ligation plus propranolol for the prevention of variceal rebleeding in cirrhotic patients with portal vein thrombosis: a randomised controlled trial[J]. Gut, 2018, 67(12): 2156-2168.
[22]
Tripathi D, Stanley AJ, Hayes PC, et al. Transjugular intrahepatic portosystemic stent-shunt in the management of portal hypertension[J]. Gut, 2020, 69(7): 1173-1192.
[23]
Anand R, AliS E, Raissi D, et al. Duodenal variceal bleeding with large spontaneous portosystemic shunt treated with transjugular intrahepatic portosystemic shunt and embolization: A case report[J]. World J Radiol, 2019, 11(8): 110-115.
[24]
Xiao J, TuJ, Zhang H, et al. Risk factors of poor prognosis in patients with pyrrolidine alkaloid-induced hepatic sinusoidal obstruction syndrome after transjugular intrahepatic portosystemic shunt[J]. Hepatol Int, 2021, 15(3): 720-729.
[25]
Lv Y, Fan D, Han G. Transjugular intrahepatic portosystemic shunt for portal hypertension: 30 years experience from China[J]. Liver Int, 2023, 43(1): 18-33.
[26]
Angeloni S, Merli M, Salvatori FM, et al. Polytetrafluoroethylene-covered stent grafts for TIPS procedure: 1-year patency and clinical results[J]. Am J Gastroenterol, 2004, 99(2): 280-285.
[27]
Triantafyllou T, Aggarwal P, Gupta E, et al. Polytetrafluoroethylene-Covered Stent Graft Versus Bare Stent in Transjugular Intrahepatic Portosystemic Shunt: Systematic Review and Meta-Analysis[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(7): 867-879.
[28]
Bucsics T, Schoder M, DiermayrI M, et al. Transjugular intrahepatic portosystemic shunts(TIPS) for the prevention of variceal re-bleeding-A two decades experience[J]. PLoS One, 2018, 13(1): e0189414.
[29]
ZHAO L, WU Q, LI Q, et al. TIPSS plus extrahepatic collateral embolisation may decrease variceal rebleeding and post-TIPSS hepatic encephalopathy[J]. Gut, 2023.
[30]
YaoJ, Zuo L, An G, et al. Risk Factors for Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt in Patients with Hepatocellular Carcinoma and Portal Hypertension[J]. J Gastrointestin Liver Dis, 2015, 24(3): 301-307.
[31]
Lee EW, Eghtesad B, Garcia-Tsao G, et al. AASLD Practice Guidance on the use of TIPS, variceal embolization, and retrograde transvenous obliteration in the management of variceal hemorrhage [J]. Hepatology(Baltimore, Md), 2024, 79(1): 224-250.
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