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Related Experiment Videos

Transjugular intrahepatic portosystemic shunts: current status

R K Kerlan1, J M LaBerge, R L Gordon

  • 1Department of Radiology, University of California, San Francisco 94143, USA.

AJR. American Journal of Roentgenology
|May 1, 1995
PubMed
Summary

Transjugular intrahepatic portosystemic shunt (TIPS) offers a less invasive alternative for managing acute variceal bleeding from portal hypertension. This procedure aims to relieve pressure without the high risks associated with traditional surgery.

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Area of Science:

  • Interventional Radiology
  • Hepatology
  • Gastroenterology

Background:

  • Acute variceal hemorrhage from portal hypertension is traditionally managed with medications, balloon tamponade, and endoscopic therapies.
  • Surgical portosystemic shunts have declined due to significant postoperative complications like hepatic failure and encephalopathy.
  • Orthotopic liver transplantation is effective but often impractical for emergent bleeding control.

Purpose of the Study:

  • To review the history, technique, and outcomes of the transjugular intrahepatic portosystemic shunt (TIPS) procedure.
  • To assess the evolving role of TIPS in managing portal hypertension and variceal bleeding.
  • To evaluate indications, contraindications, and the long-term durability of TIPS.

Main Methods:

  • Review of existing literature on the transjugular intrahepatic portosystemic shunt (TIPS) procedure.

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  • Analysis of historical data, procedural techniques, and clinical results.
  • Assessment of patient outcomes, including morbidity and mortality associated with TIPS.

    • Main Results:

    • TIPS was developed as an alternative to relieve portal hypertension without the high risks of open surgical shunts.
    • The procedure provides a less invasive option compared to traditional surgical interventions.
    • The review assesses the effectiveness and safety profile of TIPS in managing variceal hemorrhage.

    Conclusions:

    • Transjugular intrahepatic portosystemic shunt (TIPS) provides a valuable option for managing portal hypertension and its complications.
    • TIPS offers a less morbid alternative to surgical shunting for selected patients.
    • Further evaluation of indications, contraindications, and long-term durability is crucial for optimizing TIPS utilization.