Clinical Radiology
Volume 64, Issue 7 , Pages 664-674, July 2009

The transjugular intrahepatic portosystemic shunt (TIPS)

  • A.R. Owen

      Affiliations

    • Department of Radiology, Austin Health, Heidelberg, Melbourne, Australia
    • Corresponding Author InformationGuarantor and correspondent: A.R. Owen, Radiology Department, Austin Health, 145 Studley Rd, Heidelberg, Melbourne, Australia 3084. Tel.: +61 9496 3270; fax: +61 9496 4779.
    • ,
  • A.J. Stanley

      Affiliations

    • Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK
    • ,
  • A. Vijayananthan

      Affiliations

    • Department of Biomedical Imaging, University of Malaya, Kuala Lumpur, Malaysia
    • ,
  • J.G. Moss

      Affiliations

    • Department of Radiology, Gartnavel General Hospital, Glasgow, UK

Received 24 May 2008; received in revised form 16 September 2008; accepted 21 September 2008.

The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in the management refractory ascites. This review discusses the development and execution of the technique, with focus on its clinical efficacy. Patient selection, imaging surveillance, revision techniques, and complications are also discussed.

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PII: S0009-9260(09)00021-X

doi:10.1016/j.crad.2008.09.017

Clinical Radiology
Volume 64, Issue 7 , Pages 664-674, July 2009

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