title: The Transjugular Intrahepatic Portosystemic Shunt: Technique and Instruments.
abstract: Although transjugular intrahepatic portosystemic shunt (TIPS) was first described in 1971, it took 15 more years for technology, in the form of expandable metallic stents, to be developed to make TIPS a viable, widespread clinical procedure. Currently, expanded polytetrafluoroethylene-covered stent grafts that exhibit significantly greater long-term patency are used for TIPS creation by most interventionalists. TIPS creation requires specific interventional skills, tools, and devices for success. In the hands of skillful, experienced interventional radiologists, TIPS creation is performed safely and successfully in greater than 95% of cases.
authors.affiliation: Dotter Interventional Institute, Oregon Health & Sciences University, Portland, OR. Electronic address: kellerf@ohsu.edu.
authors.forename: Frederick S
authors.initials: FS
authors.lastname: Keller
authors.affiliation: Dotter Interventional Institute, Oregon Health & Sciences University, Portland, OR.
authors.forename: Khashayar
authors.initials: K
authors.lastname: Farsad
authors.affiliation: Dotter Interventional Institute, Oregon Health & Sciences University, Portland, OR.
authors.forename: Josef
authors.initials: J
authors.lastname: Rösch
mesh_terms: D000818:Animals; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D002983:Clinical Competence; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008670:Metals; D023421:Models, Animal; D010690:Phlebography; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects / Q000295:instrumentation*; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D015641:Radiography, Interventional; D015607:Stents; D016896:Treatment Outcome; D062666:Vascular Access Devices
chemical_list: D008670:Metals
keywords: Intractable Ascites; Portal Hypertension; TIPS