title: Transjugular intrahepatic portosystemic shunts in liver transplant recipients: technical considerations and review of the literature.
abstract: Transjugular intrahepatic portosystemic shunt (TIPS) is an accepted therapeutic option for the treatment of complications of portal hypertension, such as refractory variceal bleeding, refractory ascites, refractory hepatic hydrothorax and Budd-Chiari syndrome, in cirrhotic livers. However, portal hypertension is uncommon after liver transplantation, and when it occurs, it has been related to hepatic vein outflow obstruction, small liver donor size, rejection, or recurrence of the original disease. There are few reports in the literature addressing TIPS experience in liver transplant patients. This review will address the published experience of TIPS procedures in liver transplant patients, including indications, technical issues, complications, and outcomes.
authors.affiliation: Department of Radiology, Rush University Medical Center, Chicago, Illinois.
authors.forename: Nilesh H
authors.initials: NH
authors.lastname: Patel
authors.forename: Jay
authors.initials: J
authors.lastname: Patel
authors.forename: George
authors.initials: G
authors.lastname: Behrens
authors.forename: Anthony
authors.initials: A
authors.lastname: Savo