Primary creation of an externally constrained TIPS: A technique to control reduction of the portosystemic gradient

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective. Transjugular intrahepatic portosystemic shunt (TIPS) creation increases the risk of hepatic encephalopathy due to overshunting. Techniques exist to secondarily reduce the shunt for refractory encephalopathy. The purpose of this article is to describe a technique for primary TIPS restriction using a balloon-expandable stent within the transvenous hepatic track followed by deployment of a self-expanding polytetrafluoroethylene-lined stent-graft within the balloon-expandable stent to create the TIPS. Conclusion. This technique enables control over the degree of portosystemic shunting in elective TIPS creation.

Original languageEnglish (US)
Pages (from-to)868-871
Number of pages4
JournalAmerican Journal of Roentgenology
Volume204
Issue number4
DOIs
StatePublished - Apr 1 2015

Fingerprint

Transjugular Intrahepatic Portasystemic Shunt
Stents
Hepatic Encephalopathy
Polytetrafluoroethylene
Brain Diseases
Transplants
Liver

Keywords

  • Hepatic encephalopathy
  • Stent-graft
  • TIPS
  • TIPS reduction
  • Transjugular intrahepatic portosystemic shunt

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

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abstract = "Objective. Transjugular intrahepatic portosystemic shunt (TIPS) creation increases the risk of hepatic encephalopathy due to overshunting. Techniques exist to secondarily reduce the shunt for refractory encephalopathy. The purpose of this article is to describe a technique for primary TIPS restriction using a balloon-expandable stent within the transvenous hepatic track followed by deployment of a self-expanding polytetrafluoroethylene-lined stent-graft within the balloon-expandable stent to create the TIPS. Conclusion. This technique enables control over the degree of portosystemic shunting in elective TIPS creation.",
keywords = "Hepatic encephalopathy, Stent-graft, TIPS, TIPS reduction, Transjugular intrahepatic portosystemic shunt",
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T1 - Primary creation of an externally constrained TIPS

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AU - Kolbeck, Kenneth

AU - Keller, Frederick

AU - Barton, Robert

AU - Kaufman, John

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AB - Objective. Transjugular intrahepatic portosystemic shunt (TIPS) creation increases the risk of hepatic encephalopathy due to overshunting. Techniques exist to secondarily reduce the shunt for refractory encephalopathy. The purpose of this article is to describe a technique for primary TIPS restriction using a balloon-expandable stent within the transvenous hepatic track followed by deployment of a self-expanding polytetrafluoroethylene-lined stent-graft within the balloon-expandable stent to create the TIPS. Conclusion. This technique enables control over the degree of portosystemic shunting in elective TIPS creation.

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