Cochrane · systematic review · CD012358

Expanded polytetrafluoroethylene (ePTFE)‐covered stents versus bare stents for transjugular intrahepatic portosystemic shunt in people with liver cirrhosis

Zhu, P, Dong, S, Sun, P, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Hepato-BiliaryAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 50%Low 6 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

ePTFE‐covered stents versus bare stents for transjugular intrahepatic portosystemic shunt (TIPS) in people with liver cirrhosis – same stent diameter

Population: transjugular intrahepatic portosystemic shunt in people with liver cirrhosis
5 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
ePTFE‐covered stents vs bare stents
RR 0.63 [0.43, 0.92]1 study · 258 participantsLow
Downgraded: risk of bias, imprecision
Upper gastrointestinal bleeding
ePTFE‐covered stents vs bare stents
RR 0.54 [0.35, 0.84]1 study · 258 participantsLow
Downgraded: risk of bias, imprecision
Recurrence of ascites
ePTFE‐covered stents vs bare stents
RR 0.42 [0.2, 0.87]1 study · 258 participantsLow
Downgraded: risk of bias, imprecision
Hepatic encephalopathy
ePTFE‐covered stents vs bare stents
RR 1.1 [0.76, 1.61]1 study · 258 participantsVery low
Downgraded: risk of bias, imprecision
Shunt dysfunction
ePTFE‐covered stents vs bare stents
RR 0.42 [0.28, 0.61]1 study · 258 participantsLow
Downgraded: risk of bias, imprecision

ePTFE‐covered stents versus bare stents for transjugular intrahepatic portosystemic shunt in people with liver cirrhosis – different stent diameters

Population: transjugular intrahepatic portosystemic shunt in people with liver cirrhosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortalitya
ePTFE‐covered stents vs bare stents
RR 0.75 [0.48, 1.16]3 studies · 269 participantsVery low
Downgraded: risk of bias, imprecision
Procedure‐related complications
ePTFE‐covered stents vs bare stents
RR 0.53 [0.05, 5.57]1 study · 80 participantsVery low
Downgraded: risk of bias, imprecision
Upper gastrointestinal bleeding
ePTFE‐covered stents vs bare stents
RR 0.46 [0.15, 1.38]3 studies · 269 participantsVery low
Downgraded: risk of bias, imprecision
Recurrence of ascites
ePTFE‐covered stents vs bare stents
RR 0.3 [0.11, 0.85]3 studies · 269 participantsLow
Downgraded: risk of bias, imprecision
Hepatic encephalopathy
ePTFE‐covered stents vs bare stents
RR 0.93 [0.66, 1.3]3 studies · 269 participantsVery low
Downgraded: risk of bias, imprecision
Kidney failure
ePTFE‐covered stents vs bare stents
RR 7.59 [0.4, 143.92]1 study · 121 participantsVery low
Downgraded: risk of bias, imprecision
Shunt dysfunctiona
ePTFE‐covered stents vs bare stents
RR 0.5 [0.28, 0.92]3 studies · 269 participantsLow
Downgraded: risk of bias, imprecision