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• W4239046888 abstract "The transjugular intrahepatic portosystemic shunt (TIPS) is a nonoperative means of decompressing the portal venous system. It is less invasive than a surgical portosystemic shunt procedure and is associated with less morbidity and mortality; thus, TIPS is an attractive treatment option for acutely ill patients suffering from the complications of portal hypertension. However, TIPS is a technically challenging procedure associated with significant inherent morbidity as well as a small but real procedure-related mortality. Procedural complications include bleeding from capsular perforation or extrahepatic puncture of the portal vein, parenchymal injury to the biliary tree or hepatic artery, stent-related problems including migration and stent infection, contrast-induced renal failure, and cardiac arrhythmia. Shunt-related complications include encephalopathy, liver failure, and pulmonary hypertension. A thorough knowledge of procedural complications and their treatment is necessary for any interventionalist performing TIPS. An understanding of expected shunt-related complications is helpful in guiding optimal patient selection. The transjugular intrahepatic portosystemic shunt (TIPS) is a nonoperative means of decompressing the portal venous system. It is less invasive than a surgical portosystemic shunt procedure and is associated with less morbidity and mortality; thus, TIPS is an attractive treatment option for acutely ill patients suffering from the complications of portal hypertension. However, TIPS is a technically challenging procedure associated with significant inherent morbidity as well as a small but real procedure-related mortality. Procedural complications include bleeding from capsular perforation or extrahepatic puncture of the portal vein, parenchymal injury to the biliary tree or hepatic artery, stent-related problems including migration and stent infection, contrast-induced renal failure, and cardiac arrhythmia. Shunt-related complications include encephalopathy, liver failure, and pulmonary hypertension. A thorough knowledge of procedural complications and their treatment is necessary for any interventionalist performing TIPS. An understanding of expected shunt-related complications is helpful in guiding optimal patient selection." @default.
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• W4239046888 date "1998-06-01" @default.
• W4239046888 modified "2023-10-18" @default.
• W4239046888 title "TIPS complications" @default.
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• W4239046888 doi "https://doi.org/10.1016/s1089-2516(98)80037-1" @default.
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