[The technique of Trans-Jugular Porto-systemic Shunt (TIPS)].
The placement of a Trans Jugular Portosystemic Shunt (TIPS) demands a precise and rigorous surgical technique. The steps for insertion are: 1) Puncture of the right internal jugular vein with ultrasound guidance; 2) Selective catheterization of the right hepatic vein; 3) Transparenchymal direction of the catheter into a branch of the right portal vein; 4) Dilation of the parenchymal tract; 5) Deployment of an expanding metallic veno-venous shunt. Post-operative care and the most common complications are discussed.
Smail
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A
Centre Hépato Biliaire, Hôpital Paul Brousse - Villejuif.
Azoulay
D
D
Castaing
D
D
D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology