Combination of Model for End-Stage Liver Disease and Lactate Predicts Death in Patients Treated With Salvage Transjugular Intrahepatic Portosystemic Shunt for Refractory Variceal Bleeding.
Aurélie WalterMarika RudlerPol OlivasLucile MogaEric TrépoMarie Angèle RobicIsabelle Ollivier-HourmandAnna BaigesOlivier SutterCharlotte BouzbibJean Marie PeronVincent Le PennecNathalie Ganne-CarriéJoan Carles García-PagánMaxime MalletHélène LarrueThong DaoDominique ThabutVirginia Hernández-GeaJean-Charles NaultChristophe BureauManon Allairenull nullPublished in: Hepatology (Baltimore, Md.) (2021)
After salvage TIPS, 6-week mortality remains high and can be predicted by MELD score and lactate. Survival rate at 6 weeks was >85% in patients with arterial lactate ≤2.5 mmol/L and MELD score ≤ 15, while mortality was >90% for lactate ≥12 mmol/L and/or MELD score ≥ 30.