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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
Scanning Tips
TERMINOLOGY
Abbreviations
- Transjugular intrahepatic portasystemic shunt (TIPS)
Definitions
- Shunt between portal vein (PV) and hepatic vein (HV) created typically with balloon-expandable polytetrafluoroethylene (PTFE)-covered stent graft
- Shunt dysfunction
- Reduction > 50% of shunt lumen
- Portosystemic gradient > 12-15 mm Hg
- Complete occlusion of shunt
IMAGING
General Features
Ultrasonographic Findings
Angiographic Findings
Other Modality Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Indications for TIPS
Relative Contraindications for TIPS
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Li YH et al: Long-term shunt patency and overall survival of transjugular intrahepatic portosystemic shunt placement using covered stents with bare stents versus covered stents alone. Clin Radiol. 73(6):580-587, 2018
- Lee EW et al: Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt. World J Gastroenterol. 22(25):5780-9, 2016
- Engstrom BI et al: Covered transjugular intrahepatic portosystemic shunts: accuracy of ultrasound in detecting shunt malfunction. AJR Am J Roentgenol. 200(4):904-8, 2013
- 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
- Sajja KC et al: Long-term follow-up of TIPS created with expanded poly-tetrafluoroethylene covered stents. Dig Dis Sci. 58(7):2100-6, 2013
- Wu Q et al: Transjugular intrahepatic portosystemic shunt using the FLUENCY expanded polytetrafluoroethylene-covered stent. Exp Ther Med. 5(1):263-266, 2013
- Gazzera C et al: Fifteen years' experience with transjugular intrahepatic portosystemic shunt (TIPS) using bare stents: retrospective review of clinical and technical aspects. Radiol Med. 114(1):83-94, 2009
- Kim MJ et al: Technical essentials of hepatic Doppler sonography. Curr Probl Diagn Radiol. 38(2):53-60, 2009
- 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
- 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
- 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
- Zizka J et al: Value of Doppler sonography in revealing transjugular intrahepatic portosystemic shunt malfunction: a 5-year experience in 216 patients. AJR Am J Roentgenol. 175(1):141-8, 2000
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
Scanning Tips
TERMINOLOGY
Abbreviations
- Transjugular intrahepatic portasystemic shunt (TIPS)
Definitions
- Shunt between portal vein (PV) and hepatic vein (HV) created typically with balloon-expandable polytetrafluoroethylene (PTFE)-covered stent graft
- Shunt dysfunction
- Reduction > 50% of shunt lumen
- Portosystemic gradient > 12-15 mm Hg
- Complete occlusion of shunt
IMAGING
General Features
Ultrasonographic Findings
Angiographic Findings
Other Modality Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Indications for TIPS
Relative Contraindications for TIPS
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Li YH et al: Long-term shunt patency and overall survival of transjugular intrahepatic portosystemic shunt placement using covered stents with bare stents versus covered stents alone. Clin Radiol. 73(6):580-587, 2018
- Lee EW et al: Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt. World J Gastroenterol. 22(25):5780-9, 2016
- Engstrom BI et al: Covered transjugular intrahepatic portosystemic shunts: accuracy of ultrasound in detecting shunt malfunction. AJR Am J Roentgenol. 200(4):904-8, 2013
- 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
- Sajja KC et al: Long-term follow-up of TIPS created with expanded poly-tetrafluoroethylene covered stents. Dig Dis Sci. 58(7):2100-6, 2013
- Wu Q et al: Transjugular intrahepatic portosystemic shunt using the FLUENCY expanded polytetrafluoroethylene-covered stent. Exp Ther Med. 5(1):263-266, 2013
- Gazzera C et al: Fifteen years' experience with transjugular intrahepatic portosystemic shunt (TIPS) using bare stents: retrospective review of clinical and technical aspects. Radiol Med. 114(1):83-94, 2009
- Kim MJ et al: Technical essentials of hepatic Doppler sonography. Curr Probl Diagn Radiol. 38(2):53-60, 2009
- 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
- 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
- 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
- Zizka J et al: Value of Doppler sonography in revealing transjugular intrahepatic portosystemic shunt malfunction: a 5-year experience in 216 patients. AJR Am J Roentgenol. 175(1):141-8, 2000
