Bleeding Varices, Decompensated Cirrhosis, Portal Hypertension
Conditions
Keywords
transjugular intrahepatic portosystemic shunt, TIPS, liver cirrhosis, variceal bleeding, 8- or 10-mm covered stent
Brief summary
The purpose of this study is to determine whether transjugular intrahepatic portosystemic shunt (TIPS) with 10-mm covered stent is associated with lower shunt dysfunction in comparing TIPS with 8-mm covered stent in cirrhotic patients with at least one episode of variceal bleeding.
Interventions
Creating a shunt between hepatic vein and portal vein with a 8-mm covered stent by TIPS procedure.
Creating a shunt between hepatic vein and portal vein with a 10-mm covered stent by TIPS procedure.
Sponsors
Study design
Eligibility
Inclusion criteria
* Cirrhotic patients with at least one episode of variceal bleeding * No active bleeding within 5 days before TIPS * Child-Pugh score ≤13 * Signed written informed consent
Exclusion criteria
* An age \<18 years or \>75 years * With TIPS contraindications * Past or present history of hepatic encephalopathy * Pregnancy or breast-feeding * Hepatic carcinoma and/or other malignancy diseases * Sepsis * Spontaneous bacterial peritonitis * Uncontrollable hypertension * Serious cardiac or pulmonary dysfunction * Renal failure * Portal vein thrombosis * History of organ transplantation * History of HIV (human immunodeficiency viruses) infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of shunt dysfunction. | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of variceal rebleeding | 2 years |
| Incidence of hepatic encephalopathy | 2 years |
| Survival | 2 years |
| Incidence of hepatic myelopathy | 2 years |
Countries
China