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经颈静脉肝内门、体静脉支撑架分流术,又称TIPSS(Transjuglar Lntrahepatic PortosystermicStent Shunt,以下简称TIPSS),由德国海德堡大学医学院G.M.Richter等于1988年首次运用临床以来,国外已有不少作者逐步在较大范围内采用不同的Stent进行了临床应用,现有的文献都充分肯定了其临床价值.虽然早期应用的操作中因显示门静脉的附加经皮穿刺通道曾导致腹腔大出血致死的严重并发症,但随着技术的改进已避免了此类并发症,所以没有对其操作直接引起的并发症进行的专门报告.事实上TIPSS操作中的Stent放置远比一般动脉内Stent放置要复杂,更有其技巧性,下面报告1例操作中的Stent意外脱落及补救办法:
Transjugular Lntrahepatic Portosystermictent Shunt (TIPSS), which has been used by GMRichter of Heidelberg University School of Medicine in Germany for the first time since its clinical application in 1988, has been published by many authors Progressive clinical application of Stents in a wide range has been well documented in the literature, and although the use of additional percutaneous puncture passages that have shown portal veins in early-stage operations has led to severe complications of intra-abdominal hemorrhage However, as the technical improvements have prevented such complications, there is no specific report on the complications that are directly attributable to their procedure.In fact, Stent placement in TIPSS procedures is much more complicated than the general placement of Stent With its skillfulness, the following is a report of one of Stent’s accidental shedding and remedies: