PURPOSE: To analyze in detail the location and types of @entity850 and @entity432 that occur after @entity5273 ( @entity5273 ) creation and to determine the relative contribution of these various types of @entity5273 malfunction to recurrent symptoms of variceal @entity548 or @entity843 . MATERIALS AND METHODS: In 116 of 217 @entity1 who underwent @entity5273 creation between June 1990 and July 1995, follow-up portal venography was performed at 6-month intervals and for symptoms of recurrent variceal @entity548 or @entity843 . RESULTS: Cumulative primary venographic patency by means of Kaplan-Meier survival analysis was 55% at 6 months and 5% at 2 years. Secondary patency was 92% at 2 years. @entity850 or @entity432 occurred in 63 of 116 @entity1 (54%). In 20 @entity1 (17%), acute shunt occlusions developed less than 30 days after @entity5273 creation; in 24 @entity1 (21%), @entity5450 were detected after 30 days; and in 19 @entity1 (16%), @entity99 were detected after 30 days. Abnormalities of the parenchymal tract were more often correlated with recurrent variceal @entity548 or @entity843 than were @entity99 (odds ratio, 3.6; P = .02). Ten of 14 @entity1 (71%) with detected @entity3116 to their @entity5273 had symptoms, and all @entity1 with @entity3116 had @entity5450 . CONCLUSION: Tract stenoses and occlusions were the major cause of symptomatic shunt failure after @entity5273 creation. Substantial bile duct transections are often associated with @entity5450 and recurrent symptoms. Although common, @entity99 were rarely associated with recurrent symptoms in our @entity1 population.

Transjugular intrahepatic portosystemic shunt patency and the importance of XXXX location in the development of recurrent symptoms.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity843 :: ('MESH:D001201', 'Disease') :: ['ascites'] @entity5273 :: ('MESH:C562830', 'Disease') :: ['TIPS', 'transjugular intrahepatic portosystemic shunt'] @entity5450 :: ('MESH:D014570', 'Disease') :: ['tract abnormalities'] @entity3116 :: ('MESH:D001658', 'Disease') :: ['biliary fistulas'] @entity432 :: ('MESH:D001157', 'Disease') :: ['occlusion'] @entity850 :: ('MESH:D003251', 'Disease') :: ['Stenosis', 'stenosis'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic vein stenoses']
@entity850 :: (MESH:D003251,Disease) :: ['stenosis']
