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Published online before print March 24, 2004, 10.1148/radiol.2312021797
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Transjugular Intrahepatic Portosystemic Shunts: Long-term Patency and Clinical Results in a Patient Cohort Observed for 3–9 Years

Pieter C. J. ter Borg, MD, Mirjam Hollemans, MD, Henk R. van Buuren, MD, PhD, Frank P. Vleggaar, MD, PhD, Michael Groeneweg, MD, PhD, Wim C. J. Hop, PhD and Johan S. Laméris, MD, PhD

1 From the Department of Gastroenterology and Hepatology (P.C.J.t.B., M.H., H.R.v.B., F.P.V., M.G.) and Department of Epidemiology and Biostatistics (W.C.J.H.), Erasmus MC, Dr. Molewaterplein 40, Room Ca 326, 3015 GD Rotterdam, the Netherlands; and Department of Radiology, Academic Medical Centre, Amsterdam, the Netherlands (J.S.L.). Received December 30, 2002; revision requested March 4, 2003; final revision received September 11; accepted October 21. Address correspondence to P.C.J.t.B. (e-mail: pterborg@zonnet.nl).



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  		Figure 1. Kaplan-Meier plot shows the primary (a), primary-assisted (b), and secondary (c) patency rates among 75 patients who underwent TIPS placement. In contrast to the low primary patency rate, the long-term secondary patency rate was 83% at 5-year follow-up.

 


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  		Figure 2. Kaplan-Meier plot shows the probability of developing hepatic encephalopathy (a) and chronic or severe intermittent hepatic encephalopathy (b) in 75 patients who underwent TIPS placement. Most cases of encephalopathy occurred within the first 6 months of follow-up.

 


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  		Figure 3. Kaplan-Meier plot shows the probability of remaining free of recurrent bleeding in 48 patients who underwent TIPS placement for variceal bleeding. The majority of recurrent bleeding episodes occurred within 6 months of TIPS placement.

 


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  		Figure 4. Kaplan-Meier plot shows the probability of survival after TIPS placement in 75 patients. Note the poor long-term prognosis, despite successful TIPS placement.

 




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