Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation

被引：1
|
作者：
Trivedi, Surbhi [1 ,2 ]
Lam, Katie [2 ]
Ganesh, Ashwin [2 ]
Hasnain, Yasir [2 ]
Hassan, Wassim [2 ]
Herren, Josi [1 ,2 ]
Gaba, Ron C. [1 ,2 ,3 ]
机构：
[1] Univ Illinois, Dept Radiol, Coll Med, Chicago, IL USA
[2] Univ Illinois, Coll Med, Chicago, IL USA
[3] Univ Illinois, Coll Med, Dept Radiol, 1740 West Taylor St,MC 931, Chicago, IL 60612 USA
来源：
SEMINARS IN INTERVENTIONAL RADIOLOGY | 2023年 / 40卷 / 01期
基金：
美国国家卫生研究院;
关键词：
interventional radiology; transjugular intrahepatic portosystemic shunt; hepatic encephalopathy; complication; embolization; TIPS REDUCTION; STENT-GRAFT; PORTAL-VEIN; MANAGEMENT; DIAGNOSIS; OUTCOMES; EMBOLIZATION; NOMENCLATURE; DEFINITION; CIRRHOSIS;
D O I：
10.1055/s-0043-1764282
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Transjugular intrahepatic portosystemic shunt (TIPS) creation is effective in treating the sequelae of decompensated liver cirrhosis-including medically refractory ascites and variceal bleeding-by decompressing the portal venous system through a manmade portosystemic conduit within the liver. However, the altered physiology in which splenomesenteric blood bypasses intrahepatic portal venous perfusion can precipitate varying degrees of hepatic encephalopathy (HE). While the majority of post-TIPS HE cases can be treated medically, some require escalated management strategies, including endovascular interventions to modify the indwelling TIPS and/or occlude competitive physiologic spontaneous portosystemic shunts. This review article details the epidemiology, risk factors, diagnosis, classification, and treatment of post-TIPS HE.
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收藏
页码：9 / 14
页数：6
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