Observational Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2020; 8(5): 887-899
Published online Mar 6, 2020. doi: 10.12998/wjcc.v8.i5.887
Computed tomography-based score model/nomogram for predicting technical and midterm outcomes in transjugular intrahepatic portosystemic shunt treatment for symptomatic portal cavernoma
Xiang-Ke Niu, Sushant Kumar Das, Hong-Lin Wu, Yong Chen
Xiang-Ke Niu, Hong-Lin Wu, Department of Radiology, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan Province, China
Sushant Kumar Das, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Yong Chen, Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Author contributions: Chen Y designed the research; Niu XK and Das SK performed the research; Niu XK analyzed the data; Niu XK and Wu HL wrote the paper; Das SK revised the paper.
Supported by Health and Family Planning Commission of Chengdu, China, No. 2015080; Health and Family Planning Commission of Sichuan Province, China, No. 17PJ430.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Nanfang Hospital, Southern Medical University, Guangzhou, China.
Informed consent statement: This is a retrospective study, and informed written consent was thus waived.
Conflict-of-interest statement: The authors declare that there is no conflict of interest related to this study.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
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: Yong Chen, MD, Chief Doctor, Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou 510515, Guangdong Province, China. 820158699@qq.com
Received: November 19, 2019
Peer-review started: November 19, 2019
First decision: December 23, 2015
Revised: January 19, 2020
Accepted: February 12, 2020
Article in press: February 12, 2020
Published online: March 6, 2020
Core Tip

Core tip: We studied a relatively large cohort of patients with symptomatic cavernous transformation of the portal vein who underwent transjugular intrahepatic portosystemic shunt (TIPS) and found that technical success, stent patency rates, and midterm survival were closely associated with the cavernous transformation of the portal vein score. Compared to patients with TIPS failure, those with technical success had a longer midterm survival. After internal verification, we believe that this simple computed tomography-based score model/nomogram could be useful in decision-making for interventional radiologists, who could perform the TIPS procedure on patients with symptomatic portal cavernoma.