Techniques for Transjugular Intrahepatic Portosystemic Shunt Reduction and Occlusion

被引：22

作者：

Taylor, Andrew G. ^{[1
]}

Kolli, Kanti P. ^{[1
]}

Kerlan, Robert K., Jr. ^{[1
]}

机构：

[1] Univ Calif San Francisco, Dept Radiol & Biomed Imaging, 505 Parnassus,Room M-361, San Francisco, CA 94143 USA

来源：

TECHNIQUES IN VASCULAR AND INTERVENTIONAL RADIOLOGY | 2016年 / 19卷 / 01期

关键词：

TIPS reduction; hepatic encephalopathy; shunt; portal hypertension;

D O I：

10.1053/j.tvir.2016.01.008

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Transjugular intrahepatic portosystemic shunts (TIPS) effectively lower portal pressure and are commonly used to manage selected patients with variceal bleeding. Unfortunately, significant consequences are not infrequently encountered as a result of this diversion of portal venous flow. These consequences include disabling hepatic encephalopathy as well as hepatic decompensation. To manage these complications, therapeutic options include TIPS reduction and TIPS occlusion. TIPS reduction is the favored technique because of the potential for venous thrombosis and recurrent variceal hemorrhage after acute TIPS occlusion. Techniques and indications for TIPS reduction and TIPS occlusion are reviewed. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：74 / 81

页数：8

共 26 条

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