Publication Name	World Journal of Translational Medicine
Manuscript ID	124020
DOI	10.5528/wjtm.124020
Country	Rwanda

Category	Gastroenterology & Hepatology
Manuscript Type	Meta-Analysis
Article Title	Efficacy and safety of 6-mm vs 8-mm covered stents for tips creation: A meta-analysis
Manuscript Source	Unsolicited Manuscript
All Author List	Muhammad Arsalan, FNU Sawaira, Umna Bhatti, Taimoor Hassan, Shafi Muhammad Shah, Safdar Ullah Dawar, Syed Nouman Ali Shah, Rasheeda Shehroz, Muhammad Mughees, Muhammad Yasir, Madho Mal and Abdul Haseeb Hasan
Funding Agency and Grant Number
Corresponding Author	Abdul Haseeb Hasan, MD, Department of Research, Oli Health Magazine Organization, Abdul Haseeb Hasan <email>abdulhaseebhassan60@gmail.com</email>, Kigali 00000, Rwanda. abdulhaseebhassan60@gmail.com
Key Words	Transjugular intrahepatic portosystemic shunt; Stent diameter; Hepatic encephalopathy; Portal hypertension; Variceal rebleeding; Covered stent; Meta-analysis
Core Tip	This systematic review and meta-analysis of one randomised trial and four non-randomised studies compared 6-mm and 8-mm covered stents for transjugular intrahepatic portosystemic shunt. A 6-mm effective diameter was associated with a lower risk of hepatic encephalopathy, with no detectable difference in portal-pressure-gradient target achievement, survival or shunt dysfunction, and a possible increase in variceal rebleeding. Because the certainty of evidence was low to very low, these findings are hypothesis-generating and should not yet guide the choice of stent diameter in clinical practice.
Citation	Arsalan M, Sawaira F, Bhatti U, Hassan T, Shah SM, Dawar SU, Shah SNA, Shehroz R, Mughees M, Yasir M, Mal M, Hasan AH. Efficacy and safety of 6-mm vs 8-mm covered stents for tips creation: A meta-analysis. World J Transl Med 2026; In press DOI: https://doi.org/10.5528/wjtm.124020
PDF	124020-in-press.pdf

Received	2026-06-04 02:00
Peer-Review Started	2026-06-04 02:01
First Decision by Editorial Office Director
Return for Revision	2026-07-03 19:40
Revised	2026-07-11 17:44
Publication Fee Transferred
Second Decision by Editor	2026-07-28 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-07-28 11:54
Articles in Press	2026-07-28 11:54
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-6132 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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