Hepatosplenic Volumes and Portal Pressure Gradient Identify One-year Further Decompensation Risk Post-transjugular Intrahepatic Portosystemic Shunt (IMAGE)
Caption
34.2% of decompensated patients with cirrhosis experience further decompensation post-TIPS, despite improved outcomes in most. Right hepatic lobe volume and post-shunt PPG reduction were identified as protective factors against one-year further decompensation, whereas spleen volume emerged as an independent risk factor. The nomogram model constructed based on these indicators demonstrated promising discriminative accuracy in stratifying patients with decompensated cirrhosis who are at high risk of post-TIPS further decompensation, serving as an evidence-based decision-support tool to guide therapeutic selection, risk quantification, and personalized management.
Credit
Huiling Xiang
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License
CC BY-NC