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C-0099 - Worsening of sarcopenia after transjugular intrahepatic portosystemic shunt.

A. M. K. Abdel Aal, S. Kim, M. Shoreibah, S. Moawad, B. Jackson, A. Abouarab, K. Mahmoud, N. Ghaleb, M. Massoud; Birmingham/US Type: Scientific Exhibit
Area of Interest: Interventional vascular
Imaging Technique: Catheter arteriography
Procedure: Shunts
Special Focus: Outcomes
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Aims and objectives: To determine if there is any change in the psoas muscle density after TIPS placement To determine if there is a correlation between the change in psoas muscle density before and after TIPS, with the serum albumin and MELD score.

Methods and materials: We retrospectively reviewed the medical records of 402 patients who had TIPS placed between June 2005 and June 2015. Patients with CT examination of the abdomen performed before and after TIPS without IV administration of contrast material were included. A total of 110 patients met the criteria for [...]

Results: The study included 78 males (70.9%), 102 Caucasians (92.73%) with a mean age of 54 years (range: 34-75 years). TIPS was performed for the indication of volume overload in 68 patients (61.8%) and variceal bleeding in 42 patients (38.2%). The most common etiologies for cirrhosis were nonalcoholic stea[...]

Conclusion: Contrary to what was published in the literature, psoas density worsens after TIPS placement in cirrhotic patients, which was nearly statistically significant. In our cohort, statistically significant decrease in psoas density and serum albumin values were seen along with statistically significant i[...]

Personal information: Ahmed Kamel Abdel Aal, MD, PhD, Chief of Interventional Radiology, Department of Radiology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA. E-mail: akamel@uabmc.edu

References: Semin Intervent Radiol. 2014 Sep;31(3):235-42. doi: 10.1055/s-0034-1382790.

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