Post Transjugular Intrahepatic Portosystemic Shunt (Tips) Albumine Infusion to Prevent Hepatic Encephalopathy
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the efficacy of albumin infusion to prevent post tips hepatic encephalopathy'
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
The outcome is the prevention of post tips hepatic encephalopathy
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: albumin cirrhotic patients who underwent tips placement |
Drug: Albumin
albumin 20% 1 g/Kg body weight for the first two days after TIPS followed by 0,5 g/Kg body weight at day 4 and then 0,5 g/Kg body weight once a week for three weeks.
Other Names:
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Outcome Measures
Primary Outcome Measures
- one or more episodes of hepatic encephalopathy (> grade 2 according to West Heven criteria)after TIPS placement [one month post tips]
evaluate the efficacy of albumin infusion to prevent the occurrence of hepatic encephalopathy (> grade 2 according to West Heven criteria)one months after tips placement
Secondary Outcome Measures
- arterial blood pressure >120/80 mmHg and natremia >130 mg/dl in cirrhotic patients one month after TIPS placement [one month after tips placement]
improving the hypovolemia, evaluated by the arterial blood pressure value, and hyponatremia (<130 mg/dl)after albumine infusion for one month after tips placement
Eligibility Criteria
Criteria
Inclusion Criteria:
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Cirrhotic patients
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TIPS placement
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Absence of Hepatic Encephalopathy at the enrolement
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Age > 18 years
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No pregnancy
Exclusion Criteria:
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Non-cirrhotic portal hypertension
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Previous liver transplantation
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Impossibility to attend the scheduled follow-up including the weekly visit as outpatients during the first month after TIPS (see the description of follow-up below)
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Sings of overt hepatic encephalopathy as well as a history of persistent HE at entry. The latter as a contraindication for TIPS placement
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Roma La Sapienza
Investigators
- Principal Investigator: oliviero riggio, professor, Sapienza University of Rome
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2012-000931-20