Research Article

Spleen Stiffness Predicts Survival after Transjugular Intrahepatic Portosystemic Shunt in Cirrhotic Patients

Table 1

Patient demographics, liver disease characteristics, and clinical presentation (median and ranges).

VariablesOverall population ()Death ()Survival () value

Age (yr)59 (30-80)59 (40-80)58 (30-78)0.045
Sex (male/female)54/3516/838/270.626
Etiology of liver cirrhosis (viral/others)50/3915/935/300.631
Indication for TIPS1 (bleeding/ascites/both)73/4/1217/2/556/2/70.764
CTP2 score7 (5-10)8 (6-10)7 (5-10)0.019
CTP classification (A/B/C)24/62/34/18/220/44/10.147
MELD3 score10 (6-21)10.5 (7-21)10 (6-16)0.048
SB4 (μmol/L)16.4 (6.3-78.6)21.6 (6.8-78.6)16.1 (6.3-51.3)0.010
PLT5 (×1012/L)55 (16-207)46.5 (16-116)55 (22-207)0.348
PT6 (s)15.0 (11.5-20.1)15.7 (12.5-20.1)15.0 (11.5-19.4)0.114
ALT7 (IU/L)21.0 (5.2-136.7)22.5 (5.2-136.7)20.3 (6.0-66.2)0.857
AST8 (IU/L)26.6 (14.0-159.3)26.3 (18.8-159.3)26.7 (14-80.1)0.524
ALB9 (g/L)33.1 (19.8-40.0)32.2 (23.6-38.9)33.5 (19.8-40.0)0.482
Cr10 (μmol/L)64 (37-269)70 (47-269)62 (37-144)0.157
Mild PVT11 (yes/no)13/763/2110/551.000
Ascites (no/mild/moderate/large)17/36/20/162/8/7/715/28/13/90.148
Liver stiffness (m/s)1.96 (1.46-3.39)2.08 (1.65-3.39)1.92 (1.46-2.99)0.025
Spleen stiffness (m/s)3.43 (2.82-4.04)3.60 (3.20-4.04)3.31 (2.82-3.74)<0.001

Data are medians (ranges). 1TIPS: transjugular intrahepatic portosystemic shunt; 2CTP: Child-Turcotte-Pugh; 3MELD: model for end-stage liver disease; 4SB: serum bilirubin; 5PLT: platelet; 6PT: prothrombin time; 7ALT: alanine aminotransferase; 8AST: aspartate aminotransferase; 9ALB: albumin; 10Cr: creatinine; 11PVT: portal vein thrombosis.