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Abstract Details
Techniques for Transjugular Intrahepatic Portosystemic Shunt Reduction and Occlusion
Taylor AG1, Kolli KP2, Kerlan RK Jr2. Tech Vasc Interv Radiol. 2016 Mar;19(1):74-81. doi: 10.1053/j.tvir.2016.01.008. Epub 2016 Jan 29.
Author information
1Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA. Electronic address: andrew.taylor@ucsf.edu.
2Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA.
Abstract
Transjugular intrahepatic portosystemic shunts (TIPS) effectively lower portal pressure and are commonly used to manage selected patients with variceal bleeding. Unfortunately, significant consequences are not infrequently encountered as a result of this diversion of portal venous flow. These consequences include disabling hepatic encephalopathy as well as hepatic decompensation. To manage these complications, therapeutic options include TIPS reduction and TIPS occlusion. TIPS reduction is the favored technique because of the potential for venous thrombosis and recurrent variceal hemorrhage after acute TIPS occlusion. Techniques and indications for TIPS reduction and TIPS occlusion are reviewed.