Rebleeding and mortality risk are increased by ACLF but reduced by pre-emptive TIPS - Sorbonne Université
Journal Articles Journal of Hepatology Year : 2020

Rebleeding and mortality risk are increased by ACLF but reduced by pre-emptive TIPS

Jonel Trebicka
Wenyi Gu
  • Function : Author
Luis Ibáñez-Samaniego
  • Function : Author
Virginia Hernández-Gea
  • Function : Author
Carla Pitarch
  • Function : Author
Elisabet Garcia
Bogdan Procopet
Álvaro Giráldez
  • Function : Author
Lucio Amitrano
  • Function : Author
Candid Villanueva
  • Function : Author
Gilberto Silva-Junior
  • Function : Author
Javier Martinez
  • Function : Author
Joan Genescà
  • Function : Author
Cristophe Bureau
  • Function : Author
Elba Llop
  • Function : Author
Wim Laleman
Jose Maria Palazon
  • Function : Author
Jose Castellote
  • Function : Author
Susanag Rodrigues
  • Function : Author
Liselotte Gluud
Carlos Noronha Ferreira
  • Function : Author
Rafael Barcelo
  • Function : Author
Nuria Cañete
  • Function : Author
Manuel Rodríguez
  • Function : Author
Arnulf Ferlitsch
  • Function : Author
Jose Luis Mundi
  • Function : Author
Henning Gronbaek
  • Function : Author
Manuel Hernández-Guerra
  • Function : Author
Romano Sassatelli
  • Function : Author
Alessandra Dell'Era
  • Function : Author
Marco Senzolo
  • Function : Author
Juan G Abraldes
  • Function : Author
Manuel Romero-Gómez
  • Function : Author
Alexander Zipprich
Meritxell Casas
Helena Masnou
  • Function : Author
Massimo Primignani
  • Function : Author
Emmanuel Weiss
  • Function : Author
Maria-Vega Catalina
Hans-Peter Erasmus
  • Function : Author
Frank Erhard Uschner
  • Function : Author
Martin Schulz
  • Function : Author
Maximilian J Brol
Michael Praktiknjo
Johannes Chang
  • Function : Author
Aleksander Krag
Frederik Nevens
  • Function : Author
Jose Luis Calleja
  • Function : Author
Marie Angèle Robic
  • Function : Author
Irene Conejo
  • Function : Author
Agustin Albillos
  • Function : Author
Edilmar Alvarado
  • Function : Author
Maria Anna Guardascione
  • Function : Author
Marcel Tantau
  • Function : Author
Jaime Bosch
  • Function : Author
Ferran Torres
  • Function : Author
Marco Pavesi
  • Function : Author
Juan Carlos Garcia-Pagán
  • Function : Author
Christian Jansen
  • Function : Author
Rafael Bañares
  • Function : Author

Abstract

Respiration Coagulation Brain Liver Circulation Kidney Acute-on-chronic liver failure (ACLF) AVB + ACLF High rebleeding rate (25.2%) in 42 days High mortality rate (51.0%) in 42 days Pre-emptive TIPS in AVB + ACLF Low rebleeding rate (4.5%) in 42 days Low mortality rate (13.6%) in 42 days Pre-emptive TIPS Acute Variceal Bleeding (AVB) Highlights Variceal bleeding is frequently associated with ACLF in cirrhosis. ACLF is independently associated with rebleeding and mortality. Patients with variceal bleeding and ACLF can benefit from a preemptive (early) TIPS.
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hal-04483638 , version 1 (29-02-2024)

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Jonel Trebicka, Wenyi Gu, Luis Ibáñez-Samaniego, Virginia Hernández-Gea, Carla Pitarch, et al.. Rebleeding and mortality risk are increased by ACLF but reduced by pre-emptive TIPS. Journal of Hepatology, 2020, 73 (5), pp.1082-1091. ⟨10.1016/j.jhep.2020.04.024⟩. ⟨hal-04483638⟩
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