Transjugular intrahepatic portosystemic shunt with covered stents for hepatocellular carcinoma with portal vein tumor thrombosis

Table 1 Clinical data of the 11 patients

Case No.	Age (yr)	Localization of tumor	Localization of portal vein tumor thrombus	Treatment before TIPS	Eextrahepatic metastasis	Symptoms before TIPS	Gastroscopic findings before TIPS	Child-Pugh score
1	59	S2, 3, 4	Main, left branch	TACE once	Metastasis in both lungs	Vomiting blood for 3 d	Severe varicosis	6
2	78	S5, 6	Main, both left and right branches	None	None	Massive refractory ascites for 3 mo	Not performed	8
3	41	S7, 8	Main, both left and right branches	TACE 3 times	Lymphatic metastasis in hepatic hilus and cardio- diaphragmatic angle	Vomiting blood for 5 d	Severe varicosis	6
4	66	S2, 3	Main, left branch	TACE twice, RF once	None	Massive refractory ascites for 6 mo	Not performed	7
5	37	S2, 3, 4, 7	Main, both left and right branches	None	Metastasis in both lungs	Vomiting blood for 5 d	Severe varicosis	7
6	46	S2, 3, 5, 6	Main, left branch	None	None	Vomiting blood for 6 d	Severe varicosis	6
7	43	S5, 6	Main, right branch	None	None	Vomiting blood for 3 d	Severe varicosis	5
8	55	S5, 6, 7	Main, both left and right branches	TACE 3 times, RF once	Metastasis in both lungs	Vomiting blood for 2 d	Severe varicosis	8
9	60	S2, 5, 6	Main, both left and right branches	TACE once	Metastasis in both lungs	Vomiting blood for 3 d	Severe varicosis	5
10	57	S2, 3, 4	Main, left branch	TACE 2 times	None	Vomiting blood for 7 d	Severe varicosis	5
11	55	S5, 8	Main, both left and right branches	TACE once, RF once	Metastasis in both lungs	Vomiting blood for 1 d	Severe varicosis	7

TIPS: Transjugular intrahepatic portosystemic shunt; TACE: Transcatheter arterial chemoembolization; RF: Radio frequency.