{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:19:51Z","timestamp":1790219991830,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Purpose\u2002To determine safety and efficacy of transjugular portal vein recanalization with creation of intrahepatic portosystemic shunt (PVR-TIPS) in patients with chronic non-cirrhotic, non-malignant portal vein thrombosis (PVT).<\/jats:p>\n                  <jats:p>Methods\u2002This retrospective study includes 17 consecutive patients with chronic non-cirrhotic PVT (cavernous transformation n\u200a=\u200a15). PVR-TIPS was indicated because of variceal bleeding (n\u200a=\u200a13), refractory ascites (n\u200a=\u200a2), portal biliopathy with recurrent cholangitis (n\u200a=\u200a1), or abdominal pain (n\u200a=\u200a1). Treatment consisted of a combination of transjugular balloon angioplasty, mechanical thrombectomy, and\u2014depending on extent of residual thrombosis\u2014transjugular intrahepatic portosystemic shunt and additional stenting of the portal venous system.<\/jats:p>\n                  <jats:p>Results\u2002Recanalization was successful in 76.5\u200a% of patients despite cavernous transformation in 88.2\u200a%. Both 1- and 2-year secondary PV and TIPS patency rates were 69.5\u200a%. Procedure-related bleeding complications occurred in 2 patients (intraperitoneal bleeding due to capsule perforation, n\u200a=\u200a1; liver hematoma, n\u200a=\u200a1) and resolved spontaneously. However, 1 patient died due to subsequent nosocomial pneumonia. During follow-up, 3 patients with TIPS occlusion and PVT recurrence experienced portal hypertensive complications.<\/jats:p>\n                  <jats:p>Conclusions\u2002PVR-TIPS is safe and effective in selected patients with chronic non-cirrhotic PVT. Due to technical complexity and possible complications, it should be performed only in specialized centers with high experience in TIPS procedures.<\/jats:p>","DOI":"10.1055\/s-0043-121348","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T18:44:27Z","timestamp":1510080267000},"page":"221-237","source":"Crossref","is-referenced-by-count":46,"title":["Transjugular portal vein recanalization with creation of intrahepatic portosystemic shunt (PVR-TIPS) in patients with chronic non-cirrhotic, non-malignant portal vein thrombosis"],"prefix":"10.1055","volume":"56","author":[{"given":"Christoph","family":"Klinger","sequence":"additional","affiliation":[{"name":"Medizinische Klinik I, Klinikum Ludwigsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Riecken","sequence":"additional","affiliation":[{"name":"Medizinische Klinik I, Klinikum Ludwigsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Medizinische Klinik I, Klinikum Ludwigsburg, Germany"},{"name":"Gastroenterologie, Universit\u00e4t Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"De Gottardi","sequence":"additional","affiliation":[{"name":"Hepatology, Inselspital Universitatsspital Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Meier","sequence":"additional","affiliation":[{"name":"Medizinische Klinik I, Klinikum Ludwigsburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Bosch","sequence":"additional","affiliation":[{"name":"Hepatology, Inselspital Universitatsspital Bern, Switzerland"},{"name":"Hepatic Hemodynamic Laboratory, Liver Unit Hospital Clin\u00edc, IDIBAPS and Ciberehd, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karel","family":"Caca","sequence":"additional","affiliation":[{"name":"Medizinische Klinik I, Klinikum Ludwigsburg, Germany"},{"name":"Hepatology, Inselspital Universitatsspital Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,11,7]]},"container-title":["Zeitschrift f\u00fcr Gastroenterologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-121348.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,3,12]],"date-time":"2018-03-12T19:32:23Z","timestamp":1520883143000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-121348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,7]]},"references-count":0,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2018,3,12]]},"published-print":{"date-parts":[[2018,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-121348","relation":{},"ISSN":["0044-2771","1439-7803"],"issn-type":[{"value":"0044-2771","type":"print"},{"value":"1439-7803","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,7]]}}}