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To evaluate the values of percutaneous transhepatic intrahepatic portosystemic shunt for treatment of portal vein occlusion with symptomatic portal hypertension after splenectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shunt | Experimental | Perform percutaneous transhepatic intrahepatic portosystemic shunt |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous transhepatic intrahepatic portosystemic shunt | Procedure | Under fluoroscopic guidance, portal vein(PV) was punctured with a 22-gauge Chiba needle. A 0.018-inch guidewire was advanced through the needle into PV lumen. The needle was exchanged and a 7-French sheath inserted over the wire. Then retrohepatic inferior vena cava(RIVC) or hepatic vein(HV) was punctured with a 20-gauge, 30-cm Chiba needle through sheath. Another 0.018-inch guidewire was advanced through the needle into right internal jugular vein and then snared out of body. A 0.035-inch, 260-cm stiff shaft wire was then introduced through the transjugular sheath and manipulated into main portal vein(MPV) and then into superior mesenteric vein(SMV). Afterward the PTIPS procedure was completed in the standard transjugular fashion. |
| Measure | Description | Time Frame |
|---|---|---|
| No gastrointestinal rebleeding in 1 month after interventions | No gastrointestinal rebleeding in 1 month after interventions | 1 month |
| Ascites disappear in 1 month after interventions | Ascites disappear in 1 month after interventions | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Whether the shunt is patent after interventions in 6 months | Patent shunt in 6 months after interventions proved by US or CT | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zaibo Jiang, MD. | Contact | +86 020 85252066 | jiangzaibo@aliyun.com |
| Name | Affiliation | Role |
|---|---|---|
| Zaibo Jiang, MD. | Sun Yat-sen University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Radiology | Recruiting | Guangzhou | Guangdong | 510000 | China |
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|
| ID | Term |
|---|---|
| D006975 | Hypertension, Portal |
| C563407 | Portal Vein, Cavernous Transformation Of |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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