经颈静脉肝内门体分流术支架选择和释放位置研究进展  

Research progress in the selection of the stent and its release site in TIPS therapy

作　　者：曾娇 郭贵海[1] ZENG Jiao;GUO Guihai(Department of Gastroenterology,First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi Province 330006,China)

机构地区：[1]南昌大学第一附属医院消化内科,330006

出　　处：《介入放射学杂志》2021年第9期964-968,共5页Journal of Interventional Radiology

摘　　要：门静脉高压症是终末期肝病的血管并发症。经颈静脉肝内门体分流术(TIPS)通过支架植入建立分流道降低门静脉压力,其安全性和有效性已经证实。目前TIPS术有多种支架可供选择,释放位置也不相同。该文就支架直径,裸支架、覆膜支架类型,是否充分扩张,初始支架位置及穿刺位置等研究进展作一综述,以期对临床实践有一定指导意义。Portal hypertension is a vascular complication of terminal-stage liver disease.Through implantation of stent,transjugular intrahepatic portosystemic shunt(TIPS)can establish a shunt channel to reduce portal vein pressure.The clinical safety and effectiveness of TIPS have been already confirmed.At present,there are many kinds of stent that are available for TIPS,and their release sites are different from each other.This paper aims to make a comprehensive review about the recent research progress in the stents used for TIPS,focusing on the stent diameter,bare stent,type of covered stent,function of full expansion,initial site of stent implantation,puncture site,etc.in order to provide useful guidance on clinical practice.

关 键 词：经颈静脉肝内门体分流术 支架 位置 

分 类 号：R543.6[医药卫生—心血管疾病]