Abstract
Recently Transjugular Intrahepatic Portosystemic Shunts (TIPS) have become an effective treatment option for relief of portal hypertension (PHTN) and other more lethal complications associated with PHTN. During the TIPS procedure, identification of portal and hepatic anatomy can be extremely challenging due to the presence of normal variants, congenital variants and acquired collateralization of vessels. In this comprehensive pictorial review, we will demonstrate various anatomical vascular variants seen in TIPS with different imaging modalities including angiography, CT/A, MRI/A and ultrasound.
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