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Clinical Course of Cirrhotic Patients With Portal Vein Thrombosis Treated With TIPS

Follow-up and Survival of Cirrhotic and Non Cirrhotic Patients With Portal Vein Thrombosis Treated With Transjugular Intrahepatic Portosystemic Shunt

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03031717
Enrollment
15
Registered
2017-01-26
Start date
2017-01-01
Completion date
2023-06-30
Last updated
2020-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Portal Vein Thrombosis

Brief summary

Portal vein thrombosis (PVT) is defined as an obstruction of the portal vein. The prevalence of PVT is 10-25% and incidence is about 16% in cirrhotic patients. PVT leads to increased intrahepatic resistance, decreased portal velocities, splanchnic vasodilatation, and stagnant flow. Portal vein recanalization (PVR) with transjugular intrahepatic portosystemic shunt (TIPS) is aimed at restoring main portal vein (PV) flow in chronic PVT. In this study, we will review the safety and outcomes of this approach.

Detailed description

Portal vein thrombosis (PVT) is a fairly common complication of liver cirrhosis. Importantly, occlusive PVT might influence the prognosis of patients with cirrhosis. Transjugular intrahepatic portosystemic shunt (TIPS) has been reported to be an effective treatment of PVT in cirrhosis, with the advantage of avoiding the risk of bleeding linked to anticoagulation. In this study, we will evaluate the outcome of TIPS for PVT in patients with and without cirrhosis and determinate survival.

Interventions

Sponsors

Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Written informed consent * Liver cirrosis or non-cirrhotic patients * Portal vein thrombosis (degree of vessel obstruction \> 50%)

Exclusion criteria

* Active variceal bleeding * Prior history of TIPS placement or shunt surgery * Concomitant renal insufficiency * Severe cardiopulmonary diseases * Uncontrolled sepsis Serious medical conditions which may reduce the life expectancy * Contraindications for TIPS

Design outcomes

Primary

MeasureTime frameDescription
Outcome of TIPS for PVT in patients with and without cirrhosis5 yearsClinical evolution after placement of TIPS

Countries

Mexico

Contacts

Primary ContactAldo Torre
detoal@yahoo.com54870900
Backup ContactAldo Torre Delgadillo
detoal@yahoo.mx

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026