Portal hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-75 years old, understand the study process and agree to participate, sign the relevant informed consent; 2. Hepatic portal hypertensive gastrointestinal bleeding due to cirrhosis diagnosed by imaging and laboratory examination by any cause; 3. Gastroesophageal endoscopy confirmed secondary to esophageal cirrhosis with varicose veins bleeding; 4. Refractory ascites (the diagnostic criteria refer to the 2017 Chinese Society of Liver Disease: Guidelines for the diagnosis and treatment of cirrhosis ascites and related complications); 5. Liver function child-pugh score A or B (score 7); 6. liver function Child B-pugh score B with a large amount of ascites and Child-Pugh score C can be performed liver transplantation surgery, or with indications for liver transplantation acute bleeding or recurrent bleeding, TIPS treatment.
Exclusion criteria
Exclusion criteria: 1. Portal vein thrombosis; 2. Cavernous degeneration of portal vein; 3. Diffuse malignant tumor of liver, portal venous thrombus; 4. Contraindications for TIPS surgery, such as obvious liver damage (TBIL5mg/dL), congestive heart failure or severe valvular cardiac insufficiency, severe pulmonary hypertension, severe renal insufficiency, rapid progression of liver failure; 5. There are severe chronic concomitant diseases, embolus events, mental illness, severe infection, combined syphilis or HIV; 6. Pregnancy, contrast agent allergy or other contraindications of angiography.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Times of portal vein puncture; | — |
Secondary
| Measure | Time frame |
|---|---|
| Stent patency rate; | — |
Countries
China
Contacts
The Third Affiliated Hospital of Naval Military Medical University