The transjugular intrahepatic portosystemic shunt (TIPS)

The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatme...

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Published inClinical radiology Vol. 64; no. 7; pp. 664 - 674
Main Authors Owen, A.R, Stanley, A.J, Vijayananthan, A, Moss, J.G
Format Journal Article
LanguageEnglish
Published Amsterdam Elsevier Ltd 01.07.2009
Elsevier
Subjects
Ascites - surgery
Biological and medical sciences
Humans
Hypertension, Portal - surgery
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Patient Selection
Portasystemic Shunt, Transjugular Intrahepatic - adverse effects
Portasystemic Shunt, Transjugular Intrahepatic - methods
Portography
Postoperative Complications
Radiography, Interventional - methods
Radiology
Tomography, X-Ray Computed
Treatment Outcome
Jugular vein
Radiology
Nuclear medicine
Intrahepatic portosystemic shunt
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Summary:The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in the management refractory ascites. This review discusses the development and execution of the technique, with focus on its clinical efficacy. Patient selection, imaging surveillance, revision techniques, and complications are also discussed.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0009-9260
1365-229X
DOI:10.1016/j.crad.2008.09.017