Department of Interventional Radiology, Hospital Pablo Tobón Uribe, Medellín, Colombia.
Department of Pediatric Hepatology, Hospital Pablo Tobón Uribe, Medellín, Colombia.
J Vasc Interv Radiol. 2023 Jun;34(6):1070-1074. doi: 10.1016/j.jvir.2023.01.037. Epub 2023 Feb 9.
Transjugular intrahepatic portosystemic shunt (TIPS) creation is a standard therapeutic procedure for the management of complications of portal hypertension. However, in small children, this procedure is infrequently performed because of technical difficulties owing to their small size and scarce information on outcomes. This article presents the results of treatment of variceal bleeding with TIPS creation in 8 children weighing <10 kg, along with the description of the unconventional techniques and materials required. Technical and clinical success rates were 100%. Although this was a small cohort of patients, the results obtained suggest that this is a safe and technically and clinically effective treatment option for complications of portal hypertension in this age group.
经颈静脉肝内门体分流术（TIPS）的创建是治疗门静脉高压并发症的标准治疗方法。然而，由于儿童体型较小，且关于其结果的信息较少，因此该手术在小儿童中很少进行。本文介绍了使用 TIPS 治疗 8 例体重<10kg 的儿童食管胃静脉曲张出血的结果，以及所需要的非常规技术和材料的描述。技术和临床成功率均为 100%。尽管这是一个小患者队列，但获得的结果表明，对于该年龄段的门静脉高压并发症，这是一种安全且在技术和临床方面均有效的治疗选择。
