Radiol med (2017) 122:713–721 DOI 10.1007/s11547-017-0770-6 VASCULAR AND INTERVENTIONAL RADIOLOGY Incidence of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt (TIPS) according to its severity and temporal grading classification 1 1 1 1 Paolo Fonio · Andrea Discalzi · Marco Calandri · Andrea Doriguzzi Breatta · 2 3 3 1 Laura Bergamasco · Silvia Martini · Antonio Ottobrelli · Dorico Righi · Giovanni Gandini Received: 3 March 2017 / Accepted: 19 April 2017 / Published online: 16 May 2017 © Italian Society of Medical Radiology 2017 Abstract severity, whereas INR changes correlated with temporal Objectives To evaluate hepatic encephalopathy (HE) inci- frequency (p = 0.04). HE distribution classified for severity dence after transjugular intrahepatic portosystemic shunt is similar at 6 and 12 months, whereas when classified for (TIPS) and classify by gravity and frequency. frequency shows significant differences ( p = 0.04). Methods This is a retrospective study of 75 patients Conclusions A classification by gravity and frequency with no previous episodes of HE who underwent TIPS attests post-TIPS HE as a manageable risk. Monitoring of between 2008 and 2014 with clinical follow-up after 6 and bilirubin and INR may help on clinical management risk 12 months. Patient risk factors
La radiologia medica – Springer Journals
Published: May 16, 2017
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