TIPS for Complicated Portal Hypertension Related to Porto-Sinusoidal Vascular Disease

Centre Hospitalier Universitaire, Amiens360 enrolled

Overview

Porto-sinusoidal Vascular Disease (PSVD) is characterized by a portal hypertension (PH) without cirrhosis. This can induce PH complications, like digestive hemorrhage from esophageal or gastric varices, ascites, or even portal thrombosis. Due to the rarity of MVPS, the treatment of complications of portal hypertension is modeled on the methods used in cirrhotic portal hypertension with non-cardio-selective beta blockers, endoscopic ligations or diuretics in first line therapy, as proposed by the Baveno VII recommendations. In complicated or refractory forms of PH in PSVD, the place of TIPS is also discussed, as in the field of cirrhosis. However, the experience of TIPS in PSVD is limited, reported in case reports and small specifically dedicated series. No predictive factors for survival or recurrence and tolerance were well known. A larger study with control group is needed in order to better know the right time and the right indication for the use of TIPS in complicated PH PSVD-related. The study will be retrospective, multicentric involving tertiary university French centers, expert in the management of TIPS. Patients white TIPS-PSVD will be compared with historical patients with TIPS-cirrhose, matched on age, sexe, indication of TIPS. The study will not comprise new intervention, only observational in a real life condition

Study Type

OBSERVATIONAL

Enrollment

360

Conditions

TIPS Portal Hypertension Porto-Sinusoidal Vascular Disease Refractory Ascite

Outcomes

Primary Outcomes

overall survival after TIPS placement

Time frame: at 3 months

overall survival after TIPS placement

Time frame: at 6 months

overall survival after TIPS placement

Time frame: at 1 year

overall survival after TIPS placement

Time frame: at 2 years

overall survival after TIPS placement

Time frame: at 3 years

overall survival after TIPS placement

Time frame: at 4 years

overall survival after TIPS placement

Time frame: at 5 years