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Comparison of embolic agents for varices during transjugular intrahepatic portosystemic shunt for variceal bleeding: Tissue gel or coil?
Author(s) -
Linfeng Zhou,
BinYan Zhong,
Hang Du,
Wansheng Wang,
Jian Shen,
Shuai Zhang,
Wan-Ci Li,
Hao-Huan Tang,
Peng Zhang,
Weihao Yang,
Xiaoli Zhu
Publication year - 2020
Publication title -
journal of interventional medicine
Language(s) - English
Resource type - Journals
eISSN - 2096-3602
pISSN - 2590-0293
DOI - 10.1016/j.jimed.2020.08.008
Subject(s) - medicine , transjugular intrahepatic portosystemic shunt , hepatic encephalopathy , clinical endpoint , stent , thrombus , embolization , varices , portal hypertension , radiology , surgery , liver function , ascites , encephalopathy , occlusion , gastroenterology , cirrhosis , randomized controlled trial
We aimed to compare treatment efficacy, safety and material cost between tissue gel and coil regarding variceal embolization during transjugular intrahepatic portosystemic shunt (TIPS).Materials & Methods: This retrospective study including cirrhotic patients with variceal bleeding treated with TIPS combined with variceal embolization between January 2016 and August 2017. Patients were divided into three groups according to embolic agents used in variceal embolization: tissue gel group (Group A), combination group (Group B), and coil group (Group C). The primary endpoint was 1-year rebleeding rate after TIPS creation. The secondary endpoints included shunt dysfunction, overt hepatic encephalopathy, liver function, and embolic agents-related expense.

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