transjugular intrahepatic portosystemic shunt

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transjugular intrahepatic portosystemic shunt (TIPS),

angiographic procedure performed under fluoroscopic guidance wherein a wire mesh stent is placed within the liver to decompress the portal circulation directly into the hepatic vein. Indications for placement include variceal bleeding and refractory ascites in patients with cirrhosis.

transjugular intrahepatic portosystemic shunt (TIPS)

[tranz·jug′yo̅o̅·lər]
percutaneous creation of a shunt between the hepatic and portal veins within the liver followed by placement of an expandable stent in the tract created, performed by a transjugular route under radiological guidance. It is done for the treatment of bleeding esophageal varices.

trans·jug·u·lar in·tra·he·pat·ic por·to·sys·tem·ic shunt

(TIPS) (tranz-jŭg'yū-lăr in'tră-hĕ-pat'ik pōr'tō-sis-tem'ik shŭnt)
An interventional radiology procedure to relieve portal hypertension.

Transjugular intrahepatic portosystemic shunt (TIPS)

A transjugular intrahepatic portosystemic shunt (TIPS) is a radiology procedure in which a tubular device is inserted in the middle of the liver to redirect the blood flow.
Mentioned in: Bleeding Varices

Patient discussion about transjugular intrahepatic portosystemic shunt

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References in periodicals archive ?
It might be essential that the entire thrombus was covered with stent during TIPS procedure by which the turbulent flow in main trunk of portal vein was reduced.
A TIPS procedure uses image guidance to create a tunnel through the liver to connect the portal vein (which carries blood from the digestive organs to the liver) to one of the hepatic veins (three veins that carry blood away from the liver back to the heart).
In addition this technique allows trainee interventional radiologists to learn the TIPS procedure.
TIPS procedures are associated with prolonged fluoroscopy time and high patient radiation exposures.
The patient had an extensive and complex medical history that included non-Hodgkin's lymphoma, now in remission; an illness diagnosed by some as POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, circulating M protein, and skin changes) and by other physicians as Waldenstrom's macroglobulinemia; hepatic cirrhosis with a TIPS procedure (transjugular intrahepatic portosystemic shunt), a TIPS revision, and at least one episode of hepatic encephalopathy; systemic arterial hypertension; diabetes mellitus; and mild chronic renal insufficiency.
Usually, patients with portal hypertension and variceal bleeding have significant reduction in bleeding with the TIPS procedure as a result of venous decompression.
For this reason, ultrasound can be a valuable diagnostic tool for evaluating patients after a TIPS procedure.
The objective of this prospective, randomized, multi-center clinical study is to evaluate whether the TIPS procedure with the GORE([R]) VIATORR([R]) TIPS Endoprosthesis improves transplant-free survival when compared to large volume paracentesis (LVP) in patients with cirrhosis of the liver and difficult to treat ascites.
With the TIPS procedure, alternative treatments such as medications and paracentesis for ascites, and the treatment of varices may not be needed as often.