介入放射学杂志2024,Vol.33Issue(7) :808-811.DOI:10.3969/j.issn.1008-794X.2024.07.020

可控直径TIPS覆膜支架系统的研究进展

Research progress of controllable diameter TIPS covered stent system

杜恒 陈拥军 奉镭 粟春林
介入放射学杂志2024,Vol.33Issue(7) :808-811.DOI:10.3969/j.issn.1008-794X.2024.07.020

可控直径TIPS覆膜支架系统的研究进展

Research progress of controllable diameter TIPS covered stent system

杜恒 1陈拥军 1奉镭 1粟春林2
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作者信息

  • 1. 629000 四川遂宁遂宁市中心医院消化内科
  • 2. 629000 四川遂宁遂宁市中心医院消化内镜中心
  • 折叠

摘要

目前学术界对于经颈静脉肝内门体静脉分流术(TIPS)中支架的最佳直径没有给出统一意见.2021年北美肝脏疾病诊疗促进联盟推荐在TIPS中使用可控直径TIPS覆膜支架系统,该系统直径可以在8~10 mm之间调节并能保持长期稳定,具有精确调控门静脉压力梯度,优化血流动力学目标,保护肝脏血流灌注,减少分流相关并发症等优点,有较高的临床应用前景.本文结合相关文献对可控直径TIPS覆膜支架系统的研究进展作一综述,旨在更好地帮助相关领域临床工作者了解此项新技术.

Abstract

At present,in medical academic circle there is no consensus on the optimal diameter of the stent used in transjugular intrahepatic portosystemic shunt(TIPS).In 2021,the Advancing Liver Therapeutic Approaches Consortium(ALTAC)recommended the use of controllable diameter TIPS covered stent system in the performance of TIPS,the stent diameter of this system can be adjusted within the range of 8 mm to 10 mm,and its stability can be maintained for a long time.This system carries several advantages such as accurately regulating portal venous pressure gradient(PPG),optimizing hemodynamic target,protecting liver blood perfusion,reducing shunt-related complications,etc.,indicating that this system has a promising clinical application prospect.Through reviewing the relevant literature,this paper summarizes the research progress of controllable diameter TIPS covered stent system,aiming to better help clinicians engaged in related fields to gain a further understanding of this new technology.

关键词

门静脉高压/经颈静脉肝内门体分流术/支架

Key words

portal hypertension/transjugular intrahepatic portosystemic shunt/stent

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基金项目

四川省医学重点专科项目(川卫函[2019]305号)

四川省医学科研课题计划(S22028)

遂宁市中心医院科研课题(2021y23)

出版年

2024
介入放射学杂志
上海市医学会

介入放射学杂志

CSTPCDCSCD北大核心
影响因子:1.866
ISSN:1008-794X
参考文献量26
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