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Percutaneous peritoneovenous shunt for treatment of refractory ascites.

Authors
 Jong Yun Won  ;  Sun Young Choi  ;  Heung-kyu Ko  ;  Seung Hyung Kim  ;  Kwang-Hun Lee  ;  Jong Tae Lee  ;  Do Yun Lee 
Citation
 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.19(12) : 1717-1722, 2008 
Journal Title
 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY 
ISSN
 1051-0443 
Issue Date
2008
MeSH
Ascites/diagnostic imaging ; Ascites/etiology ; Ascites/mortality ; Ascites/surgery* ; Feasibility Studies ; Female ; Fluoroscopy ; Humans ; Male ; Middle Aged ; Peritoneovenous Shunt*/adverse effects ; Peritoneovenous Shunt*/mortality ; Radiography, Interventional ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography, Interventional ; Vascular Patency
Keywords
Ascites/diagnostic imaging ; Ascites/etiology ; Ascites/mortality ; Ascites/surgery* ; Feasibility Studies ; Female ; Fluoroscopy ; Humans ; Male ; Middle Aged ; Peritoneovenous Shunt*/adverse effects ; Peritoneovenous Shunt*/mortality ; Radiography, Interventional ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography, Interventional ; Vascular Patency
Abstract
PURPOSE: To evaluate the usefulness of a percutaneously placed peritoneovenous shunt (PVS) in patients with refractory ascites. MATERIALS AND METHODS: Under fluoroscopic and ultrasonographic (US) guidance, the authors placed a PVS in 55 patients (39 men and 16 women; mean age, 56 years) with refractory ascites and symptomatic abdominal distention. The cause of ascites was liver cirrhosis (n = 36), carcinomatosis (n = 17), ruptured cysts with polycystic kidney disease (n = 1), and idiopathic refractory ascites (n = 1). The authors retrospectively evaluated technical feasibility, shunt patency, complications, and clinical outcomes of each patient. RESULTS: The technical success rate was 100%, and symptomatic improvement was achieved in all but one patient. Complications occurred in 17 of the 55 patients (31%): five patients had variceal bleeding; three patients had ascites leakage; two patients each had disseminated intravascular coagulopathy, transient abdominal pain, shunt infection, and venous thrombosis; and one patient had pulmonary thromboembolism. Thirty patients (54%) died 2-690 days after the procedure (mean, 117 days), and their lifetime shunt patency was 84%. Eight patients were lost to follow-up. Seventeen patients were alive for 60-1,200 days, and their shunt patency was 71%. There was no significant difference in shunt patency between the two groups with benign and malignant ascites. CONCLUSIONS: The percutaneous placement of a PVS was a technically feasible and effective method for symptomatic relief of refractory ascites
Full Text
http://www.sciencedirect.com/science/article/pii/S1051044308008075
DOI
10.1016/j.jvir.2008.09.005
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Ko, Heung Kyu(고흥규)
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Lee, Kwang Hun(이광훈)
Lee, Do Yun(이도연)
Lee, Jong Tae(이종태)
Choi, Sun Young(최선영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107952
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