title: Percutaneous Portosystemic Shunts: TIPS and Beyond.
abstract: Percutaneous interventions for portal hypertension have been available since the 1990s. Over time, improved technology-including covered stent grafts-and clinical understanding has expanded the available procedures for percutaneous portal decompression. While transjugular intrahepatic portosystemic shunt creation is the most commonly cited percutaneous intervention, direct intrahepatic portocaval shunt and percutaneous mesocaval shunt creation are important alternatives with specific advantages and applications. This article reviews contemporary, minimally invasive interventional approaches to percutaneous portosystemic shunt creation in terms of procedure rationale, patient selection, interventional technique, and technical outcomes.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
authors.forename: Leigh C
authors.initials: LC
authors.lastname: Casadaban
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
authors.forename: Ron C
authors.initials: RC
authors.lastname: Gaba
keywords: direct intrahepatic portocaval shunt; interventional radiology; mesocaval shunt; percutaneous; transjugular intrahepatic portosystemic shunt