Shujaat Hussain, Bushra Khaar, Muhammad Umar.
Transjugular Intrahepatic Portosystemic Shunt (TIPS).
J Rawal Med Coll Jan ;5(2):101-3.
Transjugular intrahepatic portosystemic shunt (TIPS) involves creation of a low resistance channel between the hepatic vein and the intrahepatic portion of the portal vein (usually the right branch) using angiographic techniques. The tract is kept patent by deployment of an expandable metal stem across it, thereby allowing blood to return to the systemic circulation. The ability of TIPS to function like a surgical sideto-side shunt without receiving general anaesthesia and major surgery lead to its rapid acceptance into clinical practice. TIPS does not alter the extra hepatic vascular anatomy in patients who may later receive liver transplantation. Surgical portocaval shunts clearly increase operative blood loss and increase the risk of post-transplant portal vein thrombosis. This article describes various indications, complications and procedure of TIPS in detail.
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