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Semin intervent Radiol 2014; 31(03): 227-234
DOI: 10.1055/s-0034-1382789
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Percutaneous Portosystemic Shunts: TIPS and Beyond

Leigh C. Casadaban
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Ron C. Gaba
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
› Author Affiliations
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Publication History

Publication Date:
20 August 2014 (online)

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Abstract

Percutaneous interventions for portal hypertension have been available since the 1990s. Over time, improved technology—including covered stent grafts—and clinical understanding has expanded the available procedures for percutaneous portal decompression. While transjugular intrahepatic portosystemic shunt creation is the most commonly cited percutaneous intervention, direct intrahepatic portocaval shunt and percutaneous mesocaval shunt creation are important alternatives with specific advantages and applications. This article reviews contemporary, minimally invasive interventional approaches to percutaneous portosystemic shunt creation in terms of procedure rationale, patient selection, interventional technique, and technical outcomes.

Keywords

percutaneous - transjugular intrahepatic portosystemic shunt - direct intrahepatic portocaval shunt - mesocaval shunt - interventional radiology
 

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