T.I.P.S.:后续成像和修正程序。

IF 1.5 4区 医学 Q2 Medicine Acta Gastro-Enterologica Belgica Pub Date : 2000-04-01
T Puttemans, E Agneessens, J Mathieu
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引用次数: 0

摘要

TIPS 的通畅性可以通过不同的成像技术进行评估:血管造影术、彩色多普勒超声造影术、CT 血管造影术和闪烁扫描。测量门腔压力梯度的经皮血管造影术是诊断分流管失效的金标准,但由于其侵入性和经常控制分流管功能的必要性,常规检查最好采用非侵入性程序。根据不同的标准,每隔 3 至 6 个月进行一次彩色多普勒超声检查被认为是一种准确的成像技术,对评估 TIPS 的通畅性具有高度的敏感性和特异性。血管造影适用于 CDS 不成功或临床复发的情况。翻修手术可恢复分流效率,适用于 TIPS 的通畅性受到影响的情况。
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T.I.P.S.: follow-up imaging and revision procedure.

TIPS patency can be assessed by different imaging techniques: angiography, color Doppler sonography, CT angiography, scintigraphy. Percutaneous angiography with measurement of the portocaval pressure gradient is the gold standard in the diagnosis of shunt failure, but, because its invasive nature and the necessity of frequent control of the shunt function, a noninvasive procedure is preferable for routine checkup. Color Doppler sonography in intervals of 3 to 6 months, with the use of different criteria, is considered as an accurate imaging technique with a high degree of sensitivity and specificity to evaluate TIPS patency. Angiography is indicated when CDS is not successful or in each clinical recurrence. Revision procedure may restore shunt efficiency and is indicated when the TIPS patency is compromised.

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来源期刊
Acta Gastro-Enterologica Belgica
Acta Gastro-Enterologica Belgica 医学-胃肠肝病学
CiteScore
2.80
自引率
20.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.
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