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Research progress in the application of stent in TIPS procedures
Lei Qi1,2, Yihao Wang2, Wen Li2
1Oriental Pan-Vascular Devices Innovation College, University of Shanghai for Science and Technology, Shanghai, China.
Science Progress
|January 8, 2026
Summary
Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive treatment for portal hypertension. Optimizing stent selection and placement is crucial for reducing complications like hepatic encephalopathy and improving patient outcomes.
Area of Science:
- Interventional Radiology
- Hepatology
- Vascular Surgery
Background:
- Transjugular intrahepatic portosystemic shunt (TIPS) is a key therapy for portal hypertension (PH) and its complications.
- While effective and minimally invasive, TIPS can lead to complications such as hepatic encephalopathy (HE) and shunt dysfunction.
- Variations in stent types, diameters, and placement techniques exist, impacting outcomes.
Purpose of the Study:
- To review research on stent types, diameters, puncture positions, and initial stent positions in TIPS procedures.
- To provide a comprehensive overview of available stent options for TIPS.
- To emphasize individualized treatment approaches for better patient prognosis.
Main Methods:
- Literature review of research progress on TIPS stent characteristics and placement.
- Analysis of various stent types, diameters, and positional parameters.
- Synthesis of findings on their impact on complications and prognosis.
Main Results:
- Diverse stent options and placement strategies are available for TIPS.
- Stent characteristics and positioning significantly influence complication rates and patient outcomes.
- Individualized approaches are essential for optimizing TIPS efficacy.
Conclusions:
- Optimizing stent selection and placement in TIPS is critical for minimizing complications.
- Further research and individualized treatment strategies can improve patient prognosis after TIPS.
- This review offers valuable insights for clinicians and researchers in the field of interventional management of portal hypertension.
