title: Twenty-five years after the first TIPS in Spain.
abstract: The incorporation, 25 years ago, of transjugular intrahepatic portosystemic shunting, better known by the acronym TIPS, represents an indisputable improvement in the treatment and management of patients with symptoms due to portal hypertension. This article discusses the origins of the technique and the technical innovations that have been progressively added through the years. The implantation of coated stents, which protect the stent from processes in the parenchymal track that can lead to stenosis, have helped ensure long-term patency, thus reducing the need for reintervention. Solid evidence from valuable publications has situated TIPS at the forefront of the treatment options in a wide variety of clinical situations associated with portal hypertension.
authors.affiliation: Departamento de Radiología, Clínica Universidad de Navarra, Pamplona, España. Electronic address: jibilbao@unav.es.
authors.forename: J I
authors.initials: JI
authors.lastname: Bilbao Jaureguízar
mesh_terms: D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000266:history* / Q000379:methods; D013030:Spain
keywords: Cirrhosis; Cirrosis; Coated stent; Hipertensión portal; Portal hypertension; Prótesis cubierta; TIPS