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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Transjugular intrahepatic portocaval shunt (TIPS)
Definitions
Shunt between main portal vein (PV) and hepatic vein (HV) created with balloon-expandable metallic stent
Hepatopetal blood flow: Toward liver
Hepatofugal blood flow: Away from liver
IMAGING
General Features
Ultrasonographic Findings
Other Modality Findings
Imaging Recommendations
Angiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Rajesh S et al: Transjugular intrahepatic portosystemic shunt in cirrhosis: an exhaustive critical update. World J Gastroenterol. 26(37):5561-96, 2020
Vizzutti F et al: Transjugular intrahepatic portosystemic shunt (TIPS): current indications and strategies to improve the outcomes. Intern Emerg Med. 15(1):37-48, 2020
Hung ML et al: Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension: review and update of the literature. Clin Liver Dis. 23(4):737-54, 2019
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
Strunk H et al: Transjugular intrahepatic portosystemic shunt (TIPS): pathophysiologic basics, actual indications and results with review of the literature. Rofo. 190(8):701-11, 2018
Orloff MJ: Fifty-three years' experience with randomized clinical trials of emergency portacaval shunt for bleeding esophageal varices in Cirrhosis: 1958-2011. JAMA Surg. 149(2):155-69, 2014
Kirby JM et al: Image-guided intervention in management of complications of portal hypertension: more than TIPS for success. Radiographics. 33(5):1473-96, 2013
Qin JP et al: Clinical effects and complications of TIPS for portal hypertension due to cirrhosis: a single center. World J Gastroenterol. 19(44):8085-92, 2013
Micol C et al: Contrast-enhanced ultrasound: a new method for TIPS follow-up. Abdom Imaging. 37(2):252-60, 2012
Wu X et al: Favorable clinical outcome using a covered stent following transjugular intrahepatic portosystemic shunt in patients with portal hypertension. J Hepatobiliary Pancreat Sci. 17(5):701-8, 2010
Kim MJ et al: Technical essentials of hepatic Doppler sonography. Curr Probl Diagn Radiol. 38(2):53-60, 2009
Bureau C et al: Patency of stents covered with polytetrafluoroethylene in patients treated by transjugular intrahepatic portosystemic shunts: long-term results of a randomized multicentre study. Liver Int. 27(6):742-7, 2007
Maleux G et al: Dynamic MR perfusion measurements before and after TIPS in cirrhotic patients with refractory ascites. Acad Radiol. 14(11):1400-8, 2007
Bauer J et al: The role of TIPS for portal vein patency in liver transplant patients with portal vein thrombosis. Liver Transpl. 12(10):1544-51, 2006
Carr CE et al: Role of ultrasound surveillance of transjugular intrahepatic portosystemic shunts in the covered stent era. J Vasc Interv Radiol. 17(8):1297-305, 2006
Harrod-Kim P et al: Predictors of early mortality after transjugular intrahepatic portosystemic shunt creation for the treatment of refractory ascites. J Vasc Interv Radiol. 17(10):1605-10, 2006
Barrio J et al: Comparison of transjugular intrahepatic portosystemic shunt dysfunction in PTFE-covered stent-grafts versus bare stents. Eur J Radiol. 55(1):120-4, 2005
Benito A et al: Doppler ultrasound for TIPS: does it work? Abdom Imaging. 29(1):45-52, 2004
Middleton WD et al: Doppler evaluation of transjugular intrahepatic portosystemic shunts. Ultrasound Q. 19(2):56-70; quiz 108-10, 2003
Bodner G et al: Color and pulsed Doppler ultrasound findings in normally functioning transjugular intrahepatic portosystemic shunts. Eur J Ultrasound. 12(2):131-6, 2000
Ong JP et al: Transjugular intrahepatic portosystemic shunts (TIPS): a decade later. J Clin Gastroenterol. 30(1):14-28, 2000
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Transjugular intrahepatic portocaval shunt (TIPS)
Definitions
Shunt between main portal vein (PV) and hepatic vein (HV) created with balloon-expandable metallic stent
Hepatopetal blood flow: Toward liver
Hepatofugal blood flow: Away from liver
IMAGING
General Features
Ultrasonographic Findings
Other Modality Findings
Imaging Recommendations
Angiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Rajesh S et al: Transjugular intrahepatic portosystemic shunt in cirrhosis: an exhaustive critical update. World J Gastroenterol. 26(37):5561-96, 2020
Vizzutti F et al: Transjugular intrahepatic portosystemic shunt (TIPS): current indications and strategies to improve the outcomes. Intern Emerg Med. 15(1):37-48, 2020
Hung ML et al: Role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension: review and update of the literature. Clin Liver Dis. 23(4):737-54, 2019
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
Strunk H et al: Transjugular intrahepatic portosystemic shunt (TIPS): pathophysiologic basics, actual indications and results with review of the literature. Rofo. 190(8):701-11, 2018
Orloff MJ: Fifty-three years' experience with randomized clinical trials of emergency portacaval shunt for bleeding esophageal varices in Cirrhosis: 1958-2011. JAMA Surg. 149(2):155-69, 2014
Kirby JM et al: Image-guided intervention in management of complications of portal hypertension: more than TIPS for success. Radiographics. 33(5):1473-96, 2013
Qin JP et al: Clinical effects and complications of TIPS for portal hypertension due to cirrhosis: a single center. World J Gastroenterol. 19(44):8085-92, 2013
Micol C et al: Contrast-enhanced ultrasound: a new method for TIPS follow-up. Abdom Imaging. 37(2):252-60, 2012
Wu X et al: Favorable clinical outcome using a covered stent following transjugular intrahepatic portosystemic shunt in patients with portal hypertension. J Hepatobiliary Pancreat Sci. 17(5):701-8, 2010
Kim MJ et al: Technical essentials of hepatic Doppler sonography. Curr Probl Diagn Radiol. 38(2):53-60, 2009
Bureau C et al: Patency of stents covered with polytetrafluoroethylene in patients treated by transjugular intrahepatic portosystemic shunts: long-term results of a randomized multicentre study. Liver Int. 27(6):742-7, 2007
Maleux G et al: Dynamic MR perfusion measurements before and after TIPS in cirrhotic patients with refractory ascites. Acad Radiol. 14(11):1400-8, 2007
Bauer J et al: The role of TIPS for portal vein patency in liver transplant patients with portal vein thrombosis. Liver Transpl. 12(10):1544-51, 2006
Carr CE et al: Role of ultrasound surveillance of transjugular intrahepatic portosystemic shunts in the covered stent era. J Vasc Interv Radiol. 17(8):1297-305, 2006
Harrod-Kim P et al: Predictors of early mortality after transjugular intrahepatic portosystemic shunt creation for the treatment of refractory ascites. J Vasc Interv Radiol. 17(10):1605-10, 2006
Barrio J et al: Comparison of transjugular intrahepatic portosystemic shunt dysfunction in PTFE-covered stent-grafts versus bare stents. Eur J Radiol. 55(1):120-4, 2005
Benito A et al: Doppler ultrasound for TIPS: does it work? Abdom Imaging. 29(1):45-52, 2004
Middleton WD et al: Doppler evaluation of transjugular intrahepatic portosystemic shunts. Ultrasound Q. 19(2):56-70; quiz 108-10, 2003
Bodner G et al: Color and pulsed Doppler ultrasound findings in normally functioning transjugular intrahepatic portosystemic shunts. Eur J Ultrasound. 12(2):131-6, 2000
Ong JP et al: Transjugular intrahepatic portosystemic shunts (TIPS): a decade later. J Clin Gastroenterol. 30(1):14-28, 2000
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