[The technique of Trans-Jugular Porto-systemic Shunt (TIPS)]
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Updated: Aug 25, 2026

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
Published on: May 7, 2015
A Smail1, D Azoulay, D Castaing
1Centre Hépato Biliaire, Hôpital Paul Brousse - Villejuif.
Abstract:
The placement of a Trans Jugular Portosystemic Shunt (TIPS) demands a precise and rigorous surgical technique. The steps for insertion are: 1) Puncture of the right internal jugular vein with ultrasound guidance; 2) Selective catheterization of the right hepatic vein; 3) Transparenchymal direction of the catheter into a branch of the right portal vein; 4) Dilation of the parenchymal tract; 5) Deployment of an expanding metallic veno-venous shunt. Post-operative care and the most common complications are discussed.
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