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Post Transjugular Intrahepatic Portosystemic Shunt (Tips) Albumine Infusion to Prevent Hepatic Encephalopathy

Phase 4
Completed
Conditions
Hepatic Encephalopathy
Interventions
Registration Number
NCT01559519
Lead Sponsor
University of Roma La Sapienza
Brief Summary

The purpose of this study is to evaluate the efficacy of albumin infusion to prevent post tips hepatic encephalopathy'

Detailed Description

The outcome is the prevention of post tips hepatic encephalopathy

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Cirrhotic patients
  • TIPS placement
  • Absence of Hepatic Encephalopathy at the enrolement
  • Age > 18 years
  • No pregnancy
Exclusion Criteria
  • Non-cirrhotic portal hypertension
  • Previous liver transplantation
  • Impossibility to attend the scheduled follow-up including the weekly visit as outpatients during the first month after TIPS (see the description of follow-up below)
  • Sings of overt hepatic encephalopathy as well as a history of persistent HE at entry. The latter as a contraindication for TIPS placement

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
albuminAlbumincirrhotic patients who underwent tips placement
Primary Outcome Measures
NameTimeMethod
one or more episodes of hepatic encephalopathy (> grade 2 according to West Heven criteria)after TIPS placementone month post tips

evaluate the efficacy of albumin infusion to prevent the occurrence of hepatic encephalopathy (\> grade 2 according to West Heven criteria)one months after tips placement

Secondary Outcome Measures
NameTimeMethod
arterial blood pressure >120/80 mmHg and natremia >130 mg/dl in cirrhotic patients one month after TIPS placementone month after tips placement

improving the hypovolemia, evaluated by the arterial blood pressure value, and hyponatremia (\<130 mg/dl)after albumine infusion for one month after tips placement

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