Systematic Reviews
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2021; 9(19): 5179-5190
Published online Jul 6, 2021. doi: 10.12998/wjcc.v9.i19.5179
Systematic review and meta-analysis of trans-jugular intrahepatic portosystemic shunt for cirrhotic patients with portal vein thrombosis
Jian-Bin Zhang, Jie Chen, Jin Zhou, Xu-Ming Wang, Shu Chen, Jian-Guo Chu, Peng Liu, Zhi-Dong Ye
Jian-Bin Zhang, Jie Chen, Jin Zhou, Xu-Ming Wang, Peng Liu, Zhi-Dong Ye, Department of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing 100029, China
Shu Chen, Department of Interventional Radiology, Affiliated People’s Hospital of Inner Mongolia Medical University, Hohhot 010020, Inner Mongolia Autonomous Region, China
Jian-Guo Chu, Department of Radiology, Air Force Medical Center of PLA, Beijing 100142, China
Author contributions: Zhang JB, Chen J, and Zhou J contributed equally to this work; Zhang JB, Chen J, Zhou J, and Ye ZD designed the research study; Zhang JB, Chen J, Zhou J, Wang XM, and Chen S performed the research; Chu JG and Liu P contributed new reagents and analytic tools; Zhang JB, Chen J, Zhou J, and Chen S analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors have no conflicts of interests or financial disclosures relevant to this manuscript.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Dong Ye, MD, Chief Doctor, Department of Cardiovascular Surgery, China-Japan Friendship Hospital, No. 2 Yinghua East Street, Beijing 100029, China. yezhidong6618@yeah.net
Received: February 13, 2021
Peer-review started: February 13, 2021
First decision: March 14, 2021
Revised: March 21, 2021
Accepted: April 25, 2021
Article in press: April 25, 2021
Published online: July 6, 2021
Processing time: 130 Days and 15.9 Hours
ARTICLE HIGHLIGHTS
Research background

In clinical practice, portal vein thrombosis (PVT) was previously a contraindication for trans-jugular intrahepatic portosystemic shunt (TIPS).

Research motivation

Evaluating TIPS utility in the management of cirrhotic patients with PVT.

Research objectives

To review systematically the current evidence of TIPS in the management of cirrhotic patients with PVT.

Research methods

Search and evaluate the relevant published paper and then extract and analyze the key data.

Research results

TIPS can be safely carried out using a different approach in cirrhotic patient with PVT. However, in patients with cavernous transformation, it is relatively difficult.

Research conclusions

TIPS is indicated for portal hypertension related complications and the restoration of pre-transplantation portal vein patency in cirrhotic patients with PVT. Cavernous transformation is an indicator for technical failure.

Research perspectives

TIPS could be carried out in most of cirrhotic patients with PVT. We plan to carry out a similar study with a prospective design to evaluate TIPS utility for patients with PVT.