[Transjugular intrahepatic portasystemic stent shunt (TIPSS). Technique of implantation].
Implantation of a transjugular intrahepatic portosystemic stent shunt (TIPSS) is guided by ultrasound and fluoroscopy. Today this stent is clinically established as a concept of "minimal invasive therapy" to treat recurrent variceal bleeding in patients with portal hypertension. We describe its technical steps in detail, giving the materials used. "Intraoperative" and "postoperative" monitoring and the typical features of an ideal shunt are described.
Nöldge
G
G
Abteilung Radiodiagnostik, Radiologische Universitätsklinik Heidelberg.
Richter
G M
GM
Roeren
T
T
Brado
M
M
D002404:Catheterization / Q000295:instrumentation; D004867:Equipment Design; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging / Q000601:surgery*; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery; D011170:Portasystemic Shunt, Surgical / Q000295:instrumentation*; D015911:Sclerotherapy / Q000295:instrumentation; D015607:Stents; D014463:Ultrasonography
Der transjuguläre intrahepatische portosystemische Stentshunt (TIPSS). Technik der Implantation.