Results from chronic liver disease/cirrhosis & impaired drainage through hepatic sinusoids
Causes include chronic alcohol abuse, hepatitis B & C, primary & secondary biliary cirrhosis, Budd-Chiari syndrome, hemochromatosis
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Alternative Procedures & Therapies
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Alternative Procedures/Therapies
POST PROCEDURE
Things to Do
OUTCOMES
Problems
Complications
Expected Outcomes
Selected References
Rêgo HMC et al: Transjugular intrahepatic portosystemic shunt with transhepatic portal vein puncture guided by ultrasound: a technical alternative. Eur J Gastroenterol Hepatol. 34(1):112-6, 2022
Alqadi MM et al: Transjugular intrahepatic portosystemic shunt creation for treatment of gastric varices: systematic literature review and meta-analysis of clinical outcomes. Cardiovasc Intervent Radiol. 44(8):1231-9, 2021
Chen X et al: Effect of transjugular intrahepatic portosystemic shunt on transarterial chemoembolization for hepatocellular carcinoma: a systematic review and meta-analysis. Diagn Interv Radiol. 27(5):671-6, 2021
Huang Z et al: Efficacy and safety of transjugular intrahepatic portosystemic shunt (TIPS) created using covered stents of different diameters: a systematic review and meta-analysis. Diagn Interv Imaging. 102(5):279-85, 2021
García-Pagán JC et al: Where does TIPS fit in the management of patients with cirrhosis? JHEP Rep. 2(4):100122, 2020
Wang ZW et al: Comparison of the effects of TIPS versus BRTO on bleeding gastric varices: a meta-analysis. Can J Gastroenterol Hepatol. 2020:5143013, 2020
Manatsathit W et al: Performance of ultrasound for detection of transjugular intrahepatic portosystemic shunt dysfunction: a meta-analysis. Abdom Radiol (NY). 44(7):2392-402, 2019
Brand M et al: Surgical portosystemic shunts versus transjugular intrahepatic portosystemic shunt for variceal haemorrhage in people with cirrhosis. Cochrane Database Syst Rev. 10:CD001023, 2018
Kwan SW et al: Cost-effectiveness of transjugular intrahepatic portosystemic shunt versus large-volume paracentesis in refractory ascites: results of a Markov model incorporating individual patient-level meta-analysis and nationally representative cost data. J Vasc Interv Radiol. 29(12):1705-12, 2018
Ferral H et al: Post-transjugular intrahepatic portosystemic shunt follow-up and management in the VIATORR era. Tech Vasc Interv Radiol. 19(1):82-8, 2016
Taylor AG et al: Techniques for transjugular intrahepatic portosystemic shunt reduction and occlusion. Tech Vasc Interv Radiol. 19(1):74-81, 2016
Fanelli F: The evolution of transjugular intrahepatic portosystemic shunt: Tips. ISRN Hepatol. 2014:762096, 2014
Darcy M: Evaluation and management of transjugular intrahepatic portosystemic shunts. AJR Am J Roentgenol. 199(4):730-6, 2012
Patel IJ et al: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 23(6):727-36, 2012
Gluud LL et al: Meta-analysis: isosorbide-mononitrate alone or with either beta-blockers or endoscopic therapy for the management of oesophageal varices. Aliment Pharmacol Ther. 32(7):859-71, 2010
Kalva SP et al: Transjugular intrahepatic portosystemic shunt for acute variceal hemorrhage. Tech Vasc Interv Radiol. 12(2):92-101, 2009
Orloff MJ et al: Portal-systemic encephalopathy in a randomized controlled trial of endoscopic sclerotherapy versus emergency portacaval shunt treatment of acutely bleeding esophageal varices in cirrhosis. Ann Surg. 250(4):598-610, 2009
Hoppe H et al: Intravascular US-guided direct intrahepatic portocaval shunt with an expanded polytetrafluoroethylene-covered stent-graft. Radiology. 246(1):306-14, 2008
Petersen BD et al: Direct intrahepatic portocaval shunt. Tech Vasc Interv Radiol. 11(4):230-4, 2008
Sze DY et al: Bidirectionally adjustable TIPS reduction by parallel stent and stent-graft deployment. J Vasc Interv Radiol. 19(11):1653-8, 2008
Tripathi D et al: Improved clinical outcome with transjugular intrahepatic portosystemic stent-shunt utilizing polytetrafluoroethylene-covered stents. Eur J Gastroenterol Hepatol. 18(3):225-32, 2006
Boyer TD et al: American Association for the Study of Liver Diseases practice guidelines: the role of transjugular intrahepatic portosystemic shunt creation in the management of portal hypertension. J Vasc Interv Radiol. 16(5):615-29, 2005
Montgomery A et al: MELD score as a predictor of early death in patients undergoing elective transjugular intrahepatic portosystemic shunt (TIPS) procedures. Cardiovasc Intervent Radiol. 28(3):307-12, 2005
Russo MW et al: Transjugular intrahepatic portosystemic shunt for refractory ascites: an analysis of the literature on efficacy, morbidity, and mortality. Am J Gastroenterol. 98(11):2521-7, 2003
Kanterman RY et al: Doppler sonography findings associated with transjugular intrahepatic portosystemic shunt malfunction. AJR Am J Roentgenol. 168(2):467-72, 1997
LaBerge JM et al: Two-year outcome following transjugular intrahepatic portosystemic shunt for variceal bleeding: results in 90 patients. Gastroenterology. 108(4):1143-51, 1995
LaBerge JM et al: Histopathologic study of stenotic and occluded transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol. 4(6):779-86, 1993
Rösch J et al: Transjugular portal venography and radiologic portacaval shunt: an experimental study. Radiology. 92(5):1112-4, 1969
Results from chronic liver disease/cirrhosis & impaired drainage through hepatic sinusoids
Causes include chronic alcohol abuse, hepatitis B & C, primary & secondary biliary cirrhosis, Budd-Chiari syndrome, hemochromatosis
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Alternative Procedures & Therapies
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Alternative Procedures/Therapies
POST PROCEDURE
Things to Do
OUTCOMES
Problems
Complications
Expected Outcomes
Selected References
Rêgo HMC et al: Transjugular intrahepatic portosystemic shunt with transhepatic portal vein puncture guided by ultrasound: a technical alternative. Eur J Gastroenterol Hepatol. 34(1):112-6, 2022
Alqadi MM et al: Transjugular intrahepatic portosystemic shunt creation for treatment of gastric varices: systematic literature review and meta-analysis of clinical outcomes. Cardiovasc Intervent Radiol. 44(8):1231-9, 2021
Chen X et al: Effect of transjugular intrahepatic portosystemic shunt on transarterial chemoembolization for hepatocellular carcinoma: a systematic review and meta-analysis. Diagn Interv Radiol. 27(5):671-6, 2021
Huang Z et al: Efficacy and safety of transjugular intrahepatic portosystemic shunt (TIPS) created using covered stents of different diameters: a systematic review and meta-analysis. Diagn Interv Imaging. 102(5):279-85, 2021
García-Pagán JC et al: Where does TIPS fit in the management of patients with cirrhosis? JHEP Rep. 2(4):100122, 2020
Wang ZW et al: Comparison of the effects of TIPS versus BRTO on bleeding gastric varices: a meta-analysis. Can J Gastroenterol Hepatol. 2020:5143013, 2020
Manatsathit W et al: Performance of ultrasound for detection of transjugular intrahepatic portosystemic shunt dysfunction: a meta-analysis. Abdom Radiol (NY). 44(7):2392-402, 2019
Brand M et al: Surgical portosystemic shunts versus transjugular intrahepatic portosystemic shunt for variceal haemorrhage in people with cirrhosis. Cochrane Database Syst Rev. 10:CD001023, 2018
Kwan SW et al: Cost-effectiveness of transjugular intrahepatic portosystemic shunt versus large-volume paracentesis in refractory ascites: results of a Markov model incorporating individual patient-level meta-analysis and nationally representative cost data. J Vasc Interv Radiol. 29(12):1705-12, 2018
Ferral H et al: Post-transjugular intrahepatic portosystemic shunt follow-up and management in the VIATORR era. Tech Vasc Interv Radiol. 19(1):82-8, 2016
Taylor AG et al: Techniques for transjugular intrahepatic portosystemic shunt reduction and occlusion. Tech Vasc Interv Radiol. 19(1):74-81, 2016
Fanelli F: The evolution of transjugular intrahepatic portosystemic shunt: Tips. ISRN Hepatol. 2014:762096, 2014
Darcy M: Evaluation and management of transjugular intrahepatic portosystemic shunts. AJR Am J Roentgenol. 199(4):730-6, 2012
Patel IJ et al: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 23(6):727-36, 2012
Gluud LL et al: Meta-analysis: isosorbide-mononitrate alone or with either beta-blockers or endoscopic therapy for the management of oesophageal varices. Aliment Pharmacol Ther. 32(7):859-71, 2010
Kalva SP et al: Transjugular intrahepatic portosystemic shunt for acute variceal hemorrhage. Tech Vasc Interv Radiol. 12(2):92-101, 2009
Orloff MJ et al: Portal-systemic encephalopathy in a randomized controlled trial of endoscopic sclerotherapy versus emergency portacaval shunt treatment of acutely bleeding esophageal varices in cirrhosis. Ann Surg. 250(4):598-610, 2009
Hoppe H et al: Intravascular US-guided direct intrahepatic portocaval shunt with an expanded polytetrafluoroethylene-covered stent-graft. Radiology. 246(1):306-14, 2008
Petersen BD et al: Direct intrahepatic portocaval shunt. Tech Vasc Interv Radiol. 11(4):230-4, 2008
Sze DY et al: Bidirectionally adjustable TIPS reduction by parallel stent and stent-graft deployment. J Vasc Interv Radiol. 19(11):1653-8, 2008
Tripathi D et al: Improved clinical outcome with transjugular intrahepatic portosystemic stent-shunt utilizing polytetrafluoroethylene-covered stents. Eur J Gastroenterol Hepatol. 18(3):225-32, 2006
Boyer TD et al: American Association for the Study of Liver Diseases practice guidelines: the role of transjugular intrahepatic portosystemic shunt creation in the management of portal hypertension. J Vasc Interv Radiol. 16(5):615-29, 2005
Montgomery A et al: MELD score as a predictor of early death in patients undergoing elective transjugular intrahepatic portosystemic shunt (TIPS) procedures. Cardiovasc Intervent Radiol. 28(3):307-12, 2005
Russo MW et al: Transjugular intrahepatic portosystemic shunt for refractory ascites: an analysis of the literature on efficacy, morbidity, and mortality. Am J Gastroenterol. 98(11):2521-7, 2003
Kanterman RY et al: Doppler sonography findings associated with transjugular intrahepatic portosystemic shunt malfunction. AJR Am J Roentgenol. 168(2):467-72, 1997
LaBerge JM et al: Two-year outcome following transjugular intrahepatic portosystemic shunt for variceal bleeding: results in 90 patients. Gastroenterology. 108(4):1143-51, 1995
LaBerge JM et al: Histopathologic study of stenotic and occluded transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol. 4(6):779-86, 1993
Rösch J et al: Transjugular portal venography and radiologic portacaval shunt: an experimental study. Radiology. 92(5):1112-4, 1969
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