{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:30:32Z","timestamp":1777638632202,"version":"3.51.4"},"reference-count":41,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2013,11,20]],"date-time":"2013-11-20T00:00:00Z","timestamp":1384905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background &amp; Aims<\/jats:title><jats:p>In Western countries, transjugular intrahepatic portosytemic shunt (<jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content>) is widely applied for the treatment of Budd\u2013Chiari syndrome (<jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content>). However, the outcome of Chinese <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content> patients treated with <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> is extremely limited. Furthermore, the timing of conversion from percutaneous recanalization to <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> remains uncertain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All consecutive <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content> patients treated with <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> between December 2004 and June 2012 were included. Patients were classified as the early and converted <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> groups. Indications, <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content>\u2010related complications, post\u2010<jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> hepatic encephalopathy, shunt dysfunction and death were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 51 patients included, 39 underwent percutaneous recanalization for 1024\u00a0days (0\u20134574) before <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content>. Early <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> group (<jats:italic>n<\/jats:italic>\u00a0=\u00a019) has a shorter history of <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content> and a lower proportion of prior percutaneous recanalization than converted <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> group (<jats:italic>n<\/jats:italic>\u00a0=\u00a032). Main indications were diffuse obstruction of three <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content>s (<jats:italic>n<\/jats:italic>\u00a0=\u00a012), liver failure (<jats:italic>n<\/jats:italic>\u00a0=\u00a02), liver function deterioration (<jats:italic>n<\/jats:italic>\u00a0=\u00a08), refractory ascites (<jats:italic>n<\/jats:italic>\u00a0=\u00a010) and variceal bleeding (<jats:italic>n<\/jats:italic>\u00a0=\u00a019). Procedure\u2010related intraperitoneal bleeding was reversible in three patients. The cumulative 1\u2010year rate of being free of first episode of post\u2010<jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> hepatic encephalopathy and shunt dysfunction was 78.38 and 61.69% respectively. The cumulative 1\u2010, 2\u2010, and 3\u2010year survival rates were 83.82, 81.20 and 76.93% respectively. <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> score, but not Child\u2013Pugh, <jats:styled-content style=\"fixed-case\">MELD<\/jats:styled-content>, Clichy or Rotterdam score, could predict the survival. Age, total bilirubin and inferior vena cava thrombosis were also significantly associated with overall survival. Survival was similar between early and converted <jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> can achieve an excellent survival in Chinese patients in whom percutaneous recanalization is ineffective or inappropriate. <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">TIPS<\/jats:styled-content> score could effectively predict these patients' survival.<\/jats:p><\/jats:sec>","DOI":"10.1111\/liv.12355","type":"journal-article","created":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T03:33:09Z","timestamp":1385004789000},"page":"1164-1175","source":"Crossref","is-referenced-by-count":70,"title":["Transjugular intrahepatic portosystemic shunt for Budd\u2013Chiari syndrome: techniques, indications and results on 51 Chinese patients from a single 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