| Revista: | Journal of the Mexican Federation of Radiology and Imaging |
| Base de datos: | |
| Número de sistema: | 000606815 |
| ISSN: | 2696-8444 |
| Autores: | Río González, Mariana del1 Carrillo Martínez, Miguel A1 Puente Gallegos, Francisco E1 Kettenhofen Jiménez, Samuel E1 Cisneros Garza, Laura E2 Rodríguez Montalvo, Carlos A3 Flores Villalba, Eduardo3 Díaz Sánchez, María E4 Flores González, Adriana E5 Contreras Rivera, Mónica M4 |
| Instituciones: | 1Hospital Zambrano Hellion TEC-Salud, Departamento de Radiología Intervencionista, Monterrey, Nuevo León. México 2Hospital Christus Muguerza Alta Especialidad, Departamento de Gastroenterología, Monterrey, Nuevo León. México 3Hospital Angeles Valle Oriente, Centro de Enfermedades Hepáticas y Nutrición, Monterrey, Nuevo León. México 4Hospital San José Tec Salud, Departamento de Radiología, Monterrey, Nuevo León. México 5Hospital Zambrano Hellion TEC-Salud, Departamento de Radiología, Monterrey, Nuevo León. México |
| Año: | 2024 |
| Periodo: | Ene-Mar |
| Volumen: | 3 |
| Número: | 3 |
| Paginación: | 175-181 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Resumen en inglés | Introduction: Transjugular intrahepatic portosystemic shunt (TIPS) is a procedure for portal hypertension complications. However, regional geographical differences pose a particular challenge. This study analyzed the indications and the hemodynamic and technical outcomes of TIPS in patients with liver cirrhosis in a private medical setting in northern Mexico. Material and Methods: Three interventional radiologists conducted this cross-sectional study in two private Mexican hospitals between March 2004 and March 2024. Age, gender, etiology of cirrhosis, indications for TIPS, ChildPugh score, and model for end-stage liver disease (MELD) were recorded electronically. The hemodynamic and technical outcomes of the TIPS were also recorded. Results: In total, 85 TIPS procedures were performed, 76.5% (n = 65) were performed in the last 10 years. The indications for TIPS were mainly secondary prevention of recurrent variceal bleeding in 47 (55.3%) patients, followed by refractory ascites in 35 (41.1%). Hemodynamic success was achieved in 73.7% from 2004 to 2013 and increased to 95.2% from 2014 to 2024, with a mean final portosystemic pressure gradient (PSPG) of 9 mmHg. Technical success, completing the shunt on the first attempt, was 100% over two decades. The most common etiology of cirrhosis was metabolic-associated fatty liver disease (MAFLD) (n = 29 patients, 34.1%). Conclusion: The main indication for TIPS in our study was secondary prevention of recurrent variceal bleeding, and hemodynamic and technical success was high. This study is the first in Mexico to analyze the indications and hemodynamic and technical outcomes of patients undergoing TIPS. |
| Disciplinas: | Medicina, Medicina |
| Palabras clave: | Sistema cardiovascular, Terapéutica y rehabilitación |
| Keyword: | Cardiovascular system, Therapeutics and rehabilitation |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
