The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding
Open accessAbstract
BACKGROUND: Transjugular placement of an intrahepatic stent is a new technique to establish a portosystemic shunt for treatment of portal hypertension. A puncture needle is advanced in a catheter through the inferior vena cava into a hepatic vein; then an intrahepatic branch of the portal vein is punctured and an expandable stent of metallic mesh is implanted to establish the shunt. METHODS: We attempted the stent-shunt procedure in 100 of 112 consecutive patients with variceal bleeding due to cirrhosis, who were then followed for a mean (+/- SD) of 12 +/- 6 months. Of the 100 patients, 22 had Child-Pugh class C cirrhosis, 10 were treated on an emergency basis, and 68 had alcoholic cirrhosis. The shunt was established with use of Palmaz stents expanded to 8 to 12 mm in diameter. RESULTS: Technical success was achieved in 93 percent of the patients. The mean (+/- SD) time for the procedure was 1.2 +/- 0.3 hours. The shunt reduced the portal venous pressure gradient by 57 percent. Major complications were hemorrhage (intraabdominal bleeding in six patients, biliary bleeding in four, and bleeding in the liver capsule in three) and migration of the stent into the pulmonary artery (in two patients). At follow-up, stenosis of the shunt was evident in 21 patients and occlusion in 10 patients; 10 of these 31 patients had variceal rebleeding. Stenoses and occlusions of the shunt were all treated successfully by redilation, thrombolysis, or implantation of an additional stent. Hepatic encephalopathy (stages I to III) developed in 25 percent of the patients. The proportion of patients with shunts who remained free of variceal rebleeding was 92 percent at six months and 82 percent at one year. The 30-day mortality was 3 percent. The cumulative one-year survival was 85 percent. CONCLUSIONS: These results suggest that the transjugular placement of an intrahepatic portosystemic stent is an effective and safe treatment for variceal hemorrhage in patients with portal hypertension due to cirrhosis.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
Transection of the oesophagus for bleeding oesophageal varices
Pugh, R. N. H., Murray-Lyon, I. M., Dawson, J. L., Pietroni, M. C., & Williams, R. (1973) · Journal of British Surgery · doi:10.1002/bjs.1800600817 · Cited by 7,941
Endoscopic Sclerotherapy as Compared with Endoscopic Ligation for Bleeding Esophageal Varices
Stiegmann, G. V., Goff, J. S., Michaletz-Onody, P. A., Korula, J., Lieberman, D., Saeed, Z. A., Reveille, R. M., Sun, J. H., & Lowenstein, S. R. (1992) · New England Journal of Medicine · doi:10.1056/nejm199206043262304 · Cited by 694
Cello, J. P., Grendell, J. H., Crass, R. A., Weber, T. E., & Trunkey, D. D. (1987) · New England Journal of Medicine · doi:10.1056/nejm198701013160103 · Cited by 275
A Controlled Study of the Therapeutic Portacaval Shunt
Resnick, R. H., Iber, F. L., Ishihara, A. M., Chalmers, T. C., & Zimmerman, H. (1974) · Gastroenterology · doi:10.1016/s0016-5085(19)32736-2 · Cited by 269
Schomerus, H., Hamster, W., Blunck, H., Reinhard, U., Mayer, K., & D�lle, W. (1981) · Digestive Diseases and Sciences · doi:10.1007/bf01367675 · Cited by 255
A Systematic Appraisal of Portacaval H-Graft Diameters: Clinical and Hemodynamic Perspectives
Sarfeh, I. J., Rypins, E. B., & Mason, G. R. (1986) · Annals of Surgery · doi:10.1097/00000658-198610000-00003 · Cited by 151
Henderson, J. M., Kutner, M., Millikan, W. J., Galambos, J. T., Riepe, S. P., Brooks, W. S., Bryan, F. C., & Warren, W. D. (1990) · Annals of Internal Medicine · doi:10.7326/0003-4819-112-4-262 · Cited by 140
Grace, N. D., Conn, H. O., Resnick, R. H., Groszmann, R. J., Atterbury, C. E., Wright, S. C., Gusberg, R. J., Vollman, R. W., García–Tsao, G., Fisher, R. L., et al. (1988) · Hepatology · doi:10.1002/hep.1840080602 · Cited by 111
Harley, H. A. J., Morgan, T. R. M., Redeker, A. G., Reynolds, T. B., Villamil, F., Weiner, J. M., & Yellin, A. E. (1986) · Gastroenterology · doi:10.1016/0016-5085(86)90679-7 · Cited by 106
Cited by
Malinchoc, M., Kamath, P. S., Gordon, F. D., Peine, C. J., Rank, J., & ter Borg, P. C. J. (2000) · Hepatology · doi:10.1053/he.2000.5852 · Cited by 2,893
Boyer, T. D., & Haskal, Z. J. (2010) · Hepatology · doi:10.1002/hep.23383 · Cited by 549
Wijdicks, E. F. M. (2016) · New England Journal of Medicine · doi:10.1056/nejmra1600561 · Cited by 444
The Transjugular Intrahepatic Portosystemic Stent–Shunt Procedure for Refractory Ascites
Ochs, A., Rössle, M., Haag, K., Hauenstein, K.-H., Deibert, P., Siegerstetter, V., Huonker, M., Langer, M., & Blum, H. E. (1995) · New England Journal of Medicine · doi:10.1056/nejm199505043321803 · Cited by 426
Self-citationGuevara, M., Ginès, P., Bandi, J. C., Gilabert, R., Sort, P., Jiménez, W., Garcia-Pagán, J. C., Bosch, J., Arroyo, V., & Rodés, J. (1998) · Hepatology · doi:10.1002/hep.510280219 · Cited by 425
Metadata
- Authors
- Rossle, M., Haag, K., Ochs, A., Sellinger, M., Noldge, G., Perarnau, J.-M., Berger, E., Blum, U., Gabelmann, A., Hauenstein, K., Langer, M., & Gerok, W.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1994-01-20
- Volume
- 330
- Issue
- 3
- Pages
- 165-171
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2314215304
- Cited by
- 731
- References
- 13
- FWCI
- 41.30
- Type
- journal article
- Language
- en
- Open access
- bronze
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding. https://app.cochat.ai/papers/10.1056/nejm199401203300303
- The paper
- Rossle, M., Haag, K., Ochs, A., Sellinger, M., Noldge, G., Perarnau, J.-M., Berger, E., Blum, U., Gabelmann, A., Hauenstein, K., Langer, M., & Gerok, W. (1994). The Transjugular Intrahepatic Portosystemic Stent-Shunt Procedure for Variceal Bleeding. New England Journal of Medicine. https://doi.org/10.1056/nejm199401203300303
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
