Experiencia y porcentaje de complicaciones de las derivaciones portosistémicas intrahepáticas transyugulares en la Fundación Cardioinfantil

Abstract

The transjugular intrahepatic portosystemic shunt (TIPS) is an important technique in the management of complications of portal hypertension, especially in patients candidates for liver transplantation.

This an analytical observational study, without risk, in which methods and techniques of retrospective documentary research were used, and no type of intervention was conducted on the physiological, psychological and social variables of the population included. We described patient demographic, clinical features, imaging findings and associated fetures with the procedure of patients whith portal hypertension who have been handled with TIPS at Fundación Cardioinfantil, in Bogotá, Colombia, since January 1, 2007 to June 30, 2016.

54 patients where included , of which 66.7% had no immediate complications, taken into account since the end of the procedure and up to 24 hours after; however, they made their debut with encephalopathy 16.9% during this period. As to late complications, the most frequent was ascites with 66.7%, with a mortality of 20.4% of which 45% of these were secondary to septic shock and organ failure. Although the percentage of complications associated with the procedure was high in our patients, is within the values reported in the literature.

The results presented are a starting point for the evaluation of the procedure in our population and enable to implement improvement strategies that lead to impact positively on the rate of complications and mortality derived from the procedure.