Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Portal Hypertension01:22

Portal Hypertension

24
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
24
Hepatic Encephalopathy01:29

Hepatic Encephalopathy

26
DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic...
26
Hepatic Portal System01:21

Hepatic Portal System

8.1K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
8.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prognostic Factors for Post Transjugular Intrahepatic Portosystemic Shunt Creation Liver Failure and Death.

Journal of vascular and interventional radiology : JVIR·2026
Same author

Combined Transjugular Intrahepatic Portosystemic Shunt and Transvenous Obliteration Is an Effective Treatment Approach for Gastric Varices.

Journal of vascular and interventional radiology : JVIR·2026
Same author

Point of care molecular cancer diagnostics.

Lab on a chip·2026
Same author

On the Use of Transvenous Obliteration for the Primary Prophylaxis of Gastric Varices.

Journal of vascular and interventional radiology : JVIR·2025
Same author

Systematic Literature Review and Meta-analysis of the Cardiovascular Effects of Transjugular Intrahepatic Portosystemic Shunt Creation for Decompensated Liver Cirrhosis.

Journal of vascular and interventional radiology : JVIR·2025
Same author

Future Horizons in Interventional Radiology.

Journal of vascular and interventional radiology : JVIR·2025

Related Experiment Video

Updated: Apr 24, 2026

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
12:27

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt

Published on: May 7, 2015

15.9K

Percutaneous Portosystemic Shunts: TIPS and Beyond.

Leigh C Casadaban1, Ron C Gaba1

  • 1Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.

Seminars in Interventional Radiology
|September 2, 2014
PubMed
Summary
This summary is machine-generated.

Minimally invasive percutaneous interventions, including transjugular intrahepatic portosystemic shunt creation, offer effective treatment for portal hypertension. Improved techniques and technology enhance patient outcomes for portal decompression procedures.

Keywords:
direct intrahepatic portocaval shuntinterventional radiologymesocaval shuntpercutaneoustransjugular intrahepatic portosystemic shunt

More Related Videos

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
07:10

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

Published on: June 18, 2020

22.9K
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

Published on: June 27, 2025

1.9K

Related Experiment Videos

Last Updated: Apr 24, 2026

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt
12:27

Technique of Porcine Liver Procurement and Orthotopic Transplantation using an Active Porto-Caval Shunt

Published on: May 7, 2015

15.9K
Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
07:10

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

Published on: June 18, 2020

22.9K
New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

Published on: June 27, 2025

1.9K

Area of Science:

  • Interventional Radiology
  • Hepatology
  • Vascular Surgery

Background:

  • Portal hypertension management has evolved significantly since the 1990s.
  • Advances in technology, such as covered stent grafts, have expanded percutaneous treatment options.
  • Transjugular intrahepatic portosystemic shunt (TIPS) is a common percutaneous approach for portal decompression.

Purpose of the Study:

  • To review contemporary, minimally invasive interventional approaches for percutaneous portosystemic shunt creation.
  • To discuss procedure rationale, patient selection, and interventional techniques.
  • To evaluate technical outcomes of these procedures.

Main Methods:

  • Review of current literature on percutaneous interventions for portal hypertension.
  • Discussion of transjugular intrahepatic portosystemic shunt (TIPS) creation.
  • Exploration of alternative techniques: direct intrahepatic portocaval shunt and percutaneous mesocaval shunt creation.

Main Results:

  • Percutaneous interventions provide effective portal decompression for portal hypertension.
  • Direct intrahepatic portocaval shunt and percutaneous mesocaval shunt offer specific advantages and applications.
  • Improved technology and clinical understanding have refined these minimally invasive procedures.

Conclusions:

  • Minimally invasive percutaneous portosystemic shunt creation is a vital therapeutic option for portal hypertension.
  • Understanding the nuances of different techniques allows for optimized patient selection and improved outcomes.
  • Continued advancements promise further refinement in the management of portal hypertension.