Outcomes Of Transjugular Intrahepatic Portosystemic Shunt Through The Left Branch Versus The Right Branch Of The Patients Of Cirrhosis Associated Portal Hypertension

Objective: Discussion and analysis of transjugular intrahepatic portosystemic shuntthrough the left branch versus the right branch of the portal vein in patients ofcirrhosis associated portal hypertension.Methods:64patients are numbered as their sequences when arrive hospital,oddnumbers are assgined to Team TIPS-LBPV (totally32patients, within which2are offailure operation), even numbers are assigned to Team TIPS-RBPV (totally32patients). Conduct follow-up one year after the operation for all62patients. We testethe plasma ammonia of the left or right branch of portal vein in34cases, and foundthat the value varies from different branch.Results: Blood ammonia concentration of the right branch of portal vein is lowerthan the right branch(p=0.01). A similar effect on the reduction of the portal pressurehave been achieved by the two different kinds of TIPS procedures (p>0.05). It’sencouraging to found that there are less patients suffering from encephalopathy in theTIPS-LBPV group than that in the TIPS-RBPV group (p=0.036). Moreover, theincidences of stent dysfuntion in the TIPS-LBPV group were significantly lower thanthat of the TIPS-RBPV group during follow-up(p=0.042).Conclusion: Patients who underwent TIPS-LBPV had a lower incidence ofencephalopathy and stent dysfunction after TIPS implantation compared with patientswho underwent TIPS-RBPV.