title: Transjugular intrahepatic portosystemic shunt.
abstract: Transjugular intrahepatic portosystemic shunt (TIPS) is an established procedure for the complications of portal hypertension. The largest body of evidence for its use has been supported for recurrent or refractory variceal bleeding and refractory ascites. Its use has also been advocated for acute variceal bleed, hepatic hydrothorax, and hepatorenal syndrome. With the replacement of bare metal stents with polytetrafluoroethylene-covered stents, shunt patency has improved dramatically, thus, improving outcomes. Therefore, reassessment of its utility, management of its complications, and understanding of various TIPS techniques is important.
authors.affiliation: Department of Internal Medicine, Virginia Commonwealth University Hospital, 1200 East Broad Street, MCV Box 980342, Richmond, VA 23298-0342, USA.
authors.forename: Kavish R
authors.initials: KR
authors.lastname: Patidar
authors.affiliation: Radiology, Virginia Commonwealth University Hospital, 1200 East Broad Street, MCV Box 980615, Richmond, VA 23298-0615, USA; Surgery, Virginia Commonwealth University Hospital, 1200 East Broad Street, Richmond, VA 23298, USA; Vascular Interventional Radiology, Virginia Commonwealth University Hospital, 1200 East Broad Street, Richmond, VA 23298, USA.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Sydnor
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, 1200 East Broad Street, MCV Box 980342, Richmond, VA 23298-0342, USA. Electronic address: asanyal@mcvh-vcu.edu.
authors.forename: Arun J
authors.initials: AJ
authors.lastname: Sanyal
mesh_terms: D004932:Esophageal and Gastric Varices / Q000503:physiopathology / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000295:instrumentation / Q000379:methods*; D015607:Stents
chemical_list: D011138:Polytetrafluoroethylene
keywords: Ascites; Budd-Chiari syndrome; Esophageal varices; Hepatic hydrothorax; Hepatopulmonary syndrome; Hepatorenal syndrome; Transjugular intrahepatic portosystemic shunt; Venoocclusive disease