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Transjugular Intrahepatic Portosystemic Shunts Improve Survival in Patients With Cirrhosis and Recurrent Ascites

Completed
Conditions
Refractory Ascites
Interventions
Procedure: transjugular intrahepatic portal shunt
Registration Number
NCT06196723
Lead Sponsor
Tang-Du Hospital
Brief Summary

Currently, there is limited evidence regarding the survival benefit of early transjugular intrahepatic portal shunt (TIPS) placement in patients with cirrhosis and recurrent ascites. This observational study aimed to assess whether early TIPS improves the survival of patients with advanced cirrhosis and recurrent ascites. We will compare large volume paracenteses plus albumin (LVP+A) to see if TIPS improves the survival of patients with advanced cirrhosis and recurrent ascites.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
462
Inclusion Criteria

Definite diagnosis of recurrent ascites in cirrhosis (based on clinical symptoms, laboratory and imaging studies, or liver biopsy) TIPS or LVP+A therapy, -

Exclusion Criteria

Malignant neoplasm, including hepatocellular carcinoma with extrahepatic metastasis Prior liver transplantation Severe heart and lung dysfunction Recurrent hepatic encephalopathy Concomitant active infection TIPS with the use of uncovered stents Complete portal vein thrombosis

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
TIPStransjugular intrahepatic portal shunttransjugular intrahepatic portal shunt
Primary Outcome Measures
NameTimeMethod
One year transplant free survivalOne year
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Tangdu hospital

🇨🇳

Xian, Shaanxi, China

Xi'an International Medical Center Hospital

🇨🇳

Xian, Shaanxi, China

Xijing hospital

🇨🇳

Xian, Shaanxi, China

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