Related Experiment Video
Updated: Mar 9, 2026

Optimizing the Use of a Liquid Handling Robot to Conduct a High Throughput Forward Chemical Genetics Screen of Arabidopsis thaliana
Published on: April 30, 2018
An Algorithm for Management After Transjugular Intrahepatic Portosystemic Shunt Placement According to Clinical
Seung Kwon Kim1,2, Bryan G Belikoff3, Carlos J Guevara3
1Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, 510 S Kingshighway Boulevard, Campus Box 8131, St. Louis, MO, 63110, USA. skim35@wustl.edu.
Abstract:
We propose an algorithm for management after transjugular intrahepatic portosystemic shunt (TIPS) placement according to clinical manifestations. For patients with an initial good clinical response, surveillance Doppler ultrasound is recommended to detect stenosis or occlusion. A TIPS revision can be performed using basic or advanced techniques to treat stenosis or occlusion. In patients with an initial poor clinical response, a TIPS venogram with pressure measurements should be performed to assess shunt patency. The creation of a parallel TIPS may also be required if the patient is symptomatic and the portal pressure remains high after TIPS revision. Additional procedures may also be necessary, such as peritoneovenous shunt (Denver shunt) placement for refractory ascites, tunneled pleural catheter for hepatic hydrothorax, and balloon-occluded retrograde transvenous obliteration procedure for gastric variceal bleeding. A TIPS reduction procedure can also be performed in patients with uncontrolled hepatic encephalopathy or hepatic failure.
More Related Videos
Related Concept Videos
Application of Differentiation to Business
Impression Management Techniques II: Ingratiation
Area Problem
Optimization Problems
Simpson's Rule II
Drug Accumulation During Multiple Dosing: Repetitive IV Injections

