机构:
Virginia Commonwealth Univ Hosp, Dept Internal Med, Richmond, VA 23298 USAVirginia Commonwealth Univ Hosp, Dept Internal Med, Richmond, VA 23298 USA
Patidar, Kavish R.
[1
]
Sydnor, Malcolm
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机构:
Virginia Commonwealth Univ Hosp, Richmond, VA 23298 USAVirginia Commonwealth Univ Hosp, Dept Internal Med, Richmond, VA 23298 USA
Sydnor, Malcolm
[2
]
Sanyal, Arun J.
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机构:
Virginia Commonwealth Univ, Sch Med, Dept Internal Med, Div Gastroenterol, Richmond, VA 23298 USAVirginia Commonwealth Univ Hosp, Dept Internal Med, Richmond, VA 23298 USA
Sanyal, Arun J.
[3
]
机构:
[1] Virginia Commonwealth Univ Hosp, Dept Internal Med, Richmond, VA 23298 USA
[2] Virginia Commonwealth Univ Hosp, Richmond, VA 23298 USA
[3] Virginia Commonwealth Univ, Sch Med, Dept Internal Med, Div Gastroenterol, Richmond, VA 23298 USA
Transjugular intrahepatic portosystemic shunt (TIPS) is an established procedure for the complications of portal hypertension. The largest body of evidence for its use has been supported for recurrent or refractory variceal bleeding and refractory ascites. Its use has also been advocated for acute variceal bleed, hepatic hydrothorax, and hepatorenal syndrome. With the replacement of bare metal stents with polytetrafluoroethylene-covered stents, shunt patency has improved dramatically, thus, improving outcomes. Therefore, reassessment of its utility, management of its complications, and understanding of various TIPS techniques is important.