title: Transjugular Intrahepatic Portosystemic Shunt Creation With Embolization or Obliteration for Variceal Bleeding.
abstract: Variceal hemorrhage is a life-threatening sequela of liver cirrhosis that requires a careful and comprehensive approach to management. Transjugular intrahepatic portosystemic shunt creation with or without variceal embolization or obliteration represents a minimally invasive image-guided intervention used for the management of varices. This review focuses on the role of transjugular intrahepatic portosystemic shunt and embolization or obliteration in the setting of variceal hemorrhage, with an emphasis on the useful aspects of patient evaluation and selection, practical approaches to procedure planning and valuable elements of interventional technique, and clinical outcomes as they pertain to portal venous decompression and variceal embolotherapy.
authors.affiliation: (a)Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital & Health Sciences System, Chicago, IL. Electronic address: rgaba@uic.edu.
authors.forename: Ron C
authors.initials: RC
authors.lastname: Gaba
mesh_terms: D000328:Adult; D000368:Aged; D021721:Balloon Occlusion / Q000009:adverse effects; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000009:adverse effects; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D010690:Phlebography; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects; D011172:Portography; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome
keywords: bleeding; embolization; obliteration; transjugular intrahepatic portosystemic shunt (TIPS); variceal