title: [Early transjugular intrahepatic portosystemic shunt: When, how and in whom?].
abstract: Early TIPS is basically a new application of an old concept. This intervention used to be a useful rescue therapy when other interventions failed but has now become a primary intervention in patients with variceal bleeding and risk factors for poor prognosis. This technique has also been proven to control bleeding and has a definite survival advantage at 6 weeks and 1 year over standard therapy with vasoactive drugs and endoscopy, without increasing the rate of adverse events. In well-trained hands and with appropriate candidate selection, early TIPS is a safe, life-saving and evidenced-based procedure.
authors.affiliation: Laboratorio de Hemodinámica Hepática, Servicio de Hepatología, Hospital Clínic-IDIBAPS, Universidad de Barcelona, Barcelona, España.
authors.forename: Esteban
authors.initials: E
authors.lastname: Ruiz-Blard
authors.affiliation: Laboratorio de Hemodinámica Hepática, Servicio de Hepatología, Hospital Clínic-IDIBAPS, Universidad de Barcelona, Barcelona, España.
authors.forename: Anna
authors.initials: A
authors.lastname: Baiges
authors.affiliation: Laboratorio de Hemodinámica Hepática, Servicio de Hepatología, Hospital Clínic-IDIBAPS, Universidad de Barcelona, Barcelona, España.
authors.forename: Fanny
authors.initials: F
authors.lastname: Turon
authors.affiliation: Laboratorio de Hemodinámica Hepática, Servicio de Hepatología, Hospital Clínic-IDIBAPS, Universidad de Barcelona, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, España.
authors.forename: Virginia
authors.initials: V
authors.lastname: Hernández-Gea
authors.affiliation: Laboratorio de Hemodinámica Hepática, Servicio de Hepatología, Hospital Clínic-IDIBAPS, Universidad de Barcelona, Barcelona, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, España. Electronic address: jcgarcia@clinic.ub.es.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: García-Pagán
mesh_terms: D002986:Clinical Trials as Topic; D015331:Cohort Studies; D000075204:Contraindications, Procedure; D019468:Disease Management; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D015337:Multicenter Studies as Topic; D018579:Patient Selection; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D016879:Salvage Therapy; D016896:Treatment Outcome
keywords: Derivación portosistémica intrahepática transyugular; Hemorragia por varices; Hipertensión portal; Oesophageal or gastric varices; Portal hypertension; Transjugular intrahepatic portosystemic shunt; Variceal bleeding; Várices esofágicas y gástricas