Table 1.
Demographic data, clinical presentation at time of transjugular intrahepatic portosystemic stent shunt creation and technical outcome
Refractory ascites | Variceal bleeding | ||||
---|---|---|---|---|---|
n = 213 | % | n = 88 | % | P value | |
Male/female | 129/84 | 60.6/39.4 | 63/25 | 71.1/28.4 | 0.09a |
Age mean ± SD; median (range) | 58.9 ± 10.5 (24–84) | 54.2 ± 13.1 (19–86) | 0.001b | ||
Etiology of liver cirrhosis | 0.059a | ||||
Alcohol | 148 | 69.5 | 51 | 58.0 | |
Viral hepatits | 37 | 17.3 | 16 | 18.2 | |
Others | 28 | 13.1 | 21 | 23.9 | |
History of clinical course | |||||
Hepatorenal syndrome | 75 | 35.2 | 12 | 13.6 | <0.001c |
Spontaneous bacterial peritonitis | 44 | 20.7 | 6 | 6.8 | 0.002c |
Hepatic encephalopathy | 37 | 17.4 | 20 | 22.7 | 0.332b |
Endoscopic band ligation of varices | 49 | 23.0 | 71 | 80.1 | <0.001c |
Clinical stage | <0.001a | ||||
Child-Pugh-A | 2 | 0.9 | 14 | 15.9 | |
Child-Pugh-B | 167 | 78.4 | 53 | 60.2 | |
Child-Pugh-C | 44 | 20.7 | 21 | 23.9 | |
MELD score | |||||
≤14 | 131 | 61.5 | 54 | 61.4 | 0.982a |
>14 | 82 | 38.5 | 34 | 38.6 | |
Technical success | |||||
Primary | 207 | 97.2 | 87 | 98.9 | |
Secondary | 5 | 2.3 | 1 | 1.1 | 0.675a |
Mortality | |||||
3d – periprocedural mortality | 2 | 0.9 | 10 | 11.4 | <0.001c |
30d – mortality | 18 | 8.5 | 21 | 23.9 | <0.001c |
Major complications | |||||
Bleeding from accidental laceration of segmental arteries | 4 | 1.9 | 1 | 1.1 | |
Hemobilia from accidental laceration of segmental arteries | 2 | 0.9 | |||
Cardiac events | 4 | 1.9 | 2 | 2.2 | |
Pressure gradient | |||||
PSG before before shunt creation | 17.4 ± 5.5 | 18.7 ± 5.1 | 0.021b | ||
PSG after shunt creation | 5.4 ± 2.7 | 5.9 ± 2.8 | 0.069b | ||
PSG reduction | 12.1 ± 5.1 | 12.8 ± 4.8 | 0.112b |
MELD, model of end-stage liver disease; PSG, portosystemic pressure gradient.
Chi-square test.
Mann–Whitney U test.
Fisher test.