Portal Hypertension
Conditions
Brief summary
To prospectively evaluate the efficacy of real-time 3D CT-image guidance and CO2 portography during transjugular intrahepatic portosystemic shunt (TIPS) creation.
Interventions
TIPS creation is performed under the guidance of 3D CT-image.
TIPS creation is performed under the guidance of two-dimensional (2D) CO2 portograms.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Cirrhosis 2. Scheduled for indicated TIPS procedure
Exclusion criteria
1. Presence of portal vein thrombosis 2. Presence of ascites 3. Presence of hepatic vein occlusion or stenosis 4. Proven malignancy including hepatocellular carcinoma 5. End-stage renal disease under renal replacement therapy; 6. Cardiorespiratory failure 7. Pregnancy or patients not giving informed consent for TIPS procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technical success rate | procedure |
Secondary
| Measure | Time frame |
|---|---|
| Median needle passes for portal vein entry | procedure |
| Median radiographic fluoroscopy time for portal vein entry | procedure |
| The median radiation dose for the whole TIPS procedure | procedure |
| The rate of TIPS complication | 6 months |