Transjugular Intrahepatic Portasystemic Shunt Research Articles

Improvement of liver function after transjugular intrahepatic portasystemic shunt (TIPS) in a patient with Chronic Budd Chiari syndrome

Improvement of liver function after transjugular intrahepatic portasystemic shunt (TIPS) in a patient with Chronic Budd Chiari syndrome

Hemodynamic and magnetic resonance spectroscopic (MRS) studies on the effects of transjugular intrahepatic portalsystemic shunt (TIPS)

Hemodynamic and magnetic resonance spectroscopic (MRS) studies on the effects of transjugular intrahepatic portalsystemic shunt (TIPS)

Effect of Transjugular Intrahepatic Portalsystemic Shunt (TIPS) on liver function in patients with alcoholic cirrhosis

Effect of Transjugular Intrahepatic Portalsystemic Shunt (TIPS) on liver function in patients with alcoholic cirrhosis

Transjugular intrahepatic portasystemic stent shunting for control of acute and recurrent upper gastrointestinal haemorrhage related to portal hypertension.

The insertion of a transjugular intrahepatic portasystemic stent shunt (TIPSS) was evaluated in 22 patients with recurrent upper gastrointestinal haemorrhage related to portal hypertension (bleeding from oesophageal varices 10, gastric varices six, portal hypertensive gastropathy six). TIPSS was successfully performed electively in 15 patients and as an emergency in three patients. Twelve patients have had no further admissions with bleeding after TIPSS. Single episodes of bleeding were noted in six patients after TIPSS associated with shunt thrombosis (two), intimal hyperplasia within the shunt (two), and shunt migration (one). Another patient presented with reaccumulated ascites suggesting poor shunt function but died from massive variceal haemorrhage before further assessment could be performed. There was one death related to the procedure. Two patients developed encephalopathy after TIPSS, in one patient this was controlled by the insertion of a smaller diameter stent within the existing TIPSS. Several complications arose in earlier patients that have not recurred after modification of the initial technique. TIPSS can be life saving and is effective in controlling variceal haemorrhage and rebleeding from oesophageal or gastric varices and portal hypertensive gastropathy. Larger and longer term studies are required, however, to define the role of TIPSS in the overall management of such patients.

Transjugular intrahepatic portal-systemic shunts: The state of the art

HepatologyVolume 17, Issue 1 p. 148-158 Special ArticleFree Access Transjugular Intrahepatic Portal-systemic Shunts: The State of the Art Harold O. Conn M.D., Corresponding Author Harold O. Conn M.D. Yale University School of Medicine, New Haven, Connecticut 06510; and Department of Veterans Affairs Medical Center, West Haven, Connecticut 06516160 Morgan Avenue, East Haven, CT 06512–4519===Search for more papers by this author Harold O. Conn M.D., Corresponding Author Harold O. Conn M.D. Yale University School of Medicine, New Haven, Connecticut 06510; and Department of Veterans Affairs Medical Center, West Haven, Connecticut 06516160 Morgan Avenue, East Haven, CT 06512–4519===Search for more papers by this author First published: January 1993 https://doi.org/10.1002/hep.1840170125Citations: 126AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume17, Issue1January 1993Pages 148-158 ReferencesRelatedInformation

Transjugular Intrahepatic Portal-systemic Shunts: The State of the Art

Transjugular Intrahepatic Portal-systemic Shunts: The State of the Art

Transjugular intrahepatic portsystemic shunt

Transjugular intrahepatic portsystemic shunt

Interventional treatment of hepatic arterial and venous pathology: A commentary

Hepatic aneurysms, pseudoaneurysms and fistulas (arterial biliary and arterial portal) causing bleeding or portal hypertension, and arteriovenous malformations causing high output cardiac failure in adults can be successfully managed by embolization techniques. Results of embolization in infantile hemangioendotheliomas are less uniform and tumors with massive arteriovenous shunting are difficult to manage. Transjugular intrahepatic portal systemic shunts using expendable stents have been successfully created in patients and have effectively controlled portal hypertension and variceal bleeding.