Tips Underdilatation in Patients With Cirrhosis
NCT03363412 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 148
Last updated 2020-11-27
Summary
The transjugular intrahepatic portosystemic shunt (TIPS) is a well-established procedure for the treatment of portal hypertensive bleeding, refractory ascites and vascular diseases of the liver. The major drawbacks of this procedure are shunt dysfunction and portosystemic encephalopathy (PSE). The availability of self-expandable polytetrafluoroethylene-covered stentgrafts (PTFE-SGs) has dramatically improved the long-term patency of TIPS. However, the incidence of PSE remains a threatening complication in about 50% of patients.
The Investigators hypothesized that under-dilated PTFE-SGs would not self-expand to nominal diameter and their under-dilation would be safe and could reduce the rate of post-TIPS encephalopathy, while maintaining clinical efficacy.
Aim of this proof-of-concept exploratory study is to determine whether "under-dilated TIPS" is a feasible procedure that reduces the incidence of PSE while maintaining clinical efficacy.
Conditions
- Cirrhosis
Interventions
- DEVICE
-
PTFE-covered stent grafts
Creation of a small diameter intrahepatic shunt between portal and hepatic veins.
Sponsors & Collaborators
-
University of Florence
collaborator OTHER -
University of Modena and Reggio Emilia
lead OTHER
Principal Investigators
-
Filippo Schepis, MD · University of Modena and Reggio Emilia
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-06-01
- Primary Completion
- 2021-06-30
- Completion
- 2021-12-30
Countries
- Italy
Study Locations
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