COMPARATIVE STUDY
JOURNAL ARTICLE

Transjugular intrahepatic portosystemic shunt for treatment of cirrhosis-related chylothorax and chylous ascites: single-institution retrospective experience

Steven G Kikolski, Hamed Aryafar, Steven C Rose, Anne C Roberts, Thomas B Kinney
Cardiovascular and Interventional Radiology 2013, 36 (4): 992-7
23207657

PURPOSE: To investigate the efficacy and safety of the use of transjugular intrahepatic portosystemic shunt (TIPS) creation to treat cirrhosis-related chylous collections (chylothorax and chylous ascites).

METHODS: We retrospectively reviewed data from four patients treated for refractory cirrhosis-related chylous collections with TIPS at our institution over an 8 year period.

RESULTS: One patient had chylothorax, and three patients had concomitant chylothorax and chylous ascites. There were no major complications, and the only procedure-related complications occurred in two patients who had mild, treatable hepatic encephalopathy. All patients had improvement as defined by decreased need for thoracentesis or paracentesis, with postprocedure follow-up ranging from 19 to 491 days.

CONCLUSION: TIPS is a safe procedure that is effective in the treatment of cirrhosis-related chylous collections.

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