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Stent-grafts for transjugular intrahepatic portosystemic shunt creation

Abstract

Objective. The purpose of this study was to compare clinical results of using an original combined stent construction E-Luminexx + LifeStream and a Hanarostent graft for transjugular intrahepatic portosystemic shunting (TIPS).

Patients and methods. We retrospectively analyzed the results of treating a total of 89 patients after a TIPS procedure using either a combined stent construction E-Luminexx + LifeStream or a Hanarostent graft. The study included 44 men and 45 women, average age 54.4±10.1 years (range 33–71). The patients were divided into two groups: Group I consisted of 50 (56.2%) patients subjected to the TIPS procedure using the stent construction E-Luminexx + LifeStream and Group II comprised 39 (43.8%) patients treated with the Hanarostent graft.

Results. According to Kaplan-Meier analysis, cumulative primary patency in Group I and Group II patients at 1, 6, 24 and 48 months amounted to 93.9%, 91.8%, 81.5% and 73.1 vs 89.7, 81.8, 65,2 and 46.6%, respectively.

Conclusion. A comparative analysis of the short- and long-term results of TIPS created by means of the combined construction E-Luminexx + LifeStream and the Hanarostent revealed good comparable 12-month primary patency (85.3 vs 76.6%).

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Zatevakhin I.I., Shipovskiy V.N., Tsitsiashvili M.Sh., Monakhov D.V., Zabadaeva O.B.; data collection and handling – Zatevakhin I.I., Shipovskiy V.N., Tsitsiashvili M.Sh., Monakhov D.V., Zabadaeva O.B.; statistical processing – Zabadaeva O.B.; draft manuscript preparation – Zatevakhin I.I., Shipovskiy V.N., Tsitsiashvili M.Sh., Monakhov D.V., Zabadaeva O.B.; manuscript revision – Zatevakhin I.I., Shipovskiy V.N., Tsitsiashvili M.Sh., Monakhov D.V., Zabadaeva O.B.

For citation: Zatevakhin I.I., Shipovskiy V.N., Tsitsiashvili M.Sh., Monakhov D.V., Zabadaeva O.B. Stent-grafts for transjugular intrahepatic portosystemic shunt creation. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2024; 30 (1): 73–9. DOI: https://doi.org/10.33029/1027-6661-2024-30-1-73-79

Keywords:portal hypertension; TIPS; E-Luminexx + LifeStream; Hanarostent

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Full-text version of the article is available only in paper version.

Akchurin Renat Suleymanovich

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Deputy General Director for Surgery, Head of the Department of Cardiovascular Surgery, National Medical Research Center for Cardiology named after Academician E.I. Chazov, President of the Russian Society of Angiologists and Vascular Surgeons

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.