Abstract
We report our preliminary experience with Spiral Z stents for transjugular intrahepatic portosystemic shunts (TIPS). The Spiral Z stent is a modification of the Gianturco-Rosch stent. TIPS was performed in 20 patients with symptomatic portal hypertension and was effective in 19 of them. One patient re-bled and died shortly after the procedure, despite of transjugular embolisation of gastro-oesophageal varices. The portal pressure decrease (5–16 mm Hg) was related to stent diameter (8–12 mm). Mean follow-up was 6 months. Our preliminary results confirm that the 12-mm Spiral Z stent is a suitable device for creation of effective TIPS.
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