title: The transjugular intrahepatic portosystemic shunt: an update.
abstract: OBJECTIVE
  The purpose of this article is to review the indications, outcomes, complications, patient selection, and technical aspects of creating a transjugular intrahepatic portosystemic shunt (TIPS).
  
  
  CONCLUSIONS
  The best available evidence supports the use of TIPS in secondary prevention of variceal bleeding and in refractory ascites, although TIPS is also commonly used for other indications such as Budd-Chiari syndrome, hepatic hydrothorax, and acute variceal hemorrhage. The TIPS procedure was revolutionized by the introduction of covered stents, which dramatically improved long-term shunt patency.
authors.affiliation: Department of Radiology, University of California San Francisco, 505 Parnassus Ave, Rm M-361, San Francisco, CA 94143, USA. Nicholas.Fidelman@ucsf.edu
authors.forename: Nicholas
authors.initials: N
authors.lastname: Fidelman
authors.forename: Sharon W
authors.initials: SW
authors.lastname: Kwan
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: LaBerge
authors.forename: Roy L
authors.initials: RL
authors.lastname: Gordon
authors.forename: Ernest J
authors.initials: EJ
authors.lastname: Ring
authors.forename: Robert K
authors.initials: RK
authors.lastname: Kerlan
mesh_terms: D001201:Ascites / Q000601:surgery; D006502:Budd-Chiari Syndrome / Q000601:surgery; D000075202:Contraindications; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D006876:Hydrothorax / Q000209:etiology / Q000601:surgery; D006975:Hypertension, Portal / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D018579:Patient Selection; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000379:methods*