TIPS: 25 years later.
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TLDR
In the 25 years since the first TIPS intervention has been performed, technical standards, indications, and contraindications have been set up and TIPS has gained increasing acceptance in the treatment of the various complications of portal hypertension and vascular diseases of the liver.About:
This article is published in Journal of Hepatology.The article was published on 2013-11-01 and is currently open access. It has received 297 citations till now. The article focuses on the topics: Portal vein thrombosis & Transjugular intrahepatic portosystemic shunt.read more
Citations
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Journal ArticleDOI
Characteristics and outcomes of transjugular intrahepatic portosystemic shunt recipients in the VA Healthcare System.
Robert Lerrigo,Lauren A. Beste,Steven L. Leipertz,Pamela Green,Anna S. Lok,Matthew J. Kogut,George N. Ioannou +6 more
TL;DR: Burden of extra-hepatic comorbidities, HCV infection, and low serum albumin strongly predict post-TIPS mortality in addition to the MELD score, which should not be considered simply as a bridge to transplantation.
Journal ArticleDOI
Transjugular Intrahepatic Portosystemic Shunt Placement for Portal Hypertension: Meta-Analysis of Safety and Efficacy of 8 mm vs. 10 mm Stents.
Jiangtao Liu,Jiangtao Liu,Eric Wehrenberg-Klee,Emily D. Bethea,Raul N. Uppot,Kei Yamada,Suvranu Ganguli,Suvranu Ganguli +7 more
TL;DR: Meta-analysis results suggest that there is not one superior stent choice for all clinical scenarios and that the TIPS indication of variceal bleeding or refractory ascites might have different appropriate selection of the shunt diameter.
Journal ArticleDOI
Impact of TIPS on Splenic Volume and Thrombocytopenia
TL;DR: In this article, the authors evaluated changes in splenic volumes and platelet counts after TIPS insertion and found that the increase in platelet count was correlated with decreasing splenic volume.
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Transhepatic Revision of Occluded Transjugular Intrahepatic Portosystemic Shunt Complicated by Endotipsitis.
Journal ArticleDOI
Abdominal Applications of 4D Flow MRI.
Christoph Riedel,Alexander Lenz,Lutz Fischer,Jun Li,Feilix Piecha,Johannes Kluwe,Gerhard Adam,Peter Bannas +7 more
TL;DR: Results of recent studies indicate that 4D flow MRI improves understanding of altered hemodynamics in patients with abdominal disease and may be useful for monitoring therapeutic response.
References
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Journal ArticleDOI
A model to predict survival in patients with end‐stage liver disease
Patrick S. Kamath,Russell H. Wiesner,Michael Malinchoc,Walter K. Kremers,Terry M. Therneau,Catherine L. Kosberg,Gennaro D'Amico,E. Rolland Dickson,M.B.A. W. Ray Kim M.D. +8 more
TL;DR: The MELD scale is a reliable measure of mortality risk in patients with end‐stage liver disease and suitable for use as a disease severity index to determine organ allocation priorities in patient groups with a broader range of disease severity and etiology.
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A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts.
Michael Malinchoc,Patrick S. Kamath,Fredric D. Gordon,Craig J. Peine,Jeffrey M. Rank,Pieter C.J. ter Borg +5 more
TL;DR: This Mayo TIPS model may predict early death following elective TIPS for either prevention of variceal rebleeding or for treatment of refractory ascites, superior to both the Child‐Pugh classification and the Child-Pugh score in predicting survival.
Journal ArticleDOI
Revising consensus in portal hypertension: Report of the Baveno V Consensus Workshop on methodology of diagnosis and therapy in Portal Hypertension
TL;DR: A Baveno V workshop was held on May 21–22, 2010, attended by many of the experts responsible for most of the major achievements of the last years in this field, and produced consensus statements on some important points, although some issues remained unsettled.
Journal ArticleDOI
A model to predict survival in patients with end-stage liver disease
Patrick S. Kamath,Russell H. Wiesner,Michael Malinchoc,Walter K. Kremers,Terry M. Therneau,Gennaro D'Amico,Catherine L. Kosberg,E. R. Dickson,W. R. Kim +8 more
TL;DR: The MELD scale is a reliable measure of mortality risk in patients with end-stage liver disease and suitable for use as a disease severity index to determine organ allocation priorities in patient groups with a broader range of disease severity and etiology.
Journal ArticleDOI
Early Use of TIPS in Patients with Cirrhosis and Variceal Bleeding
Juan Carlos García-Pagán,Karel Caca,Christophe Bureau,Wim Laleman,Beate Appenrodt,Angelo Luca,Juan G. Abraldes,Frederik Nevens,Jean-Pierre Vinel,Joachim Mössner,Jaime Bosch +10 more
TL;DR: In patients with cirrhosis who were hospitalized for acute variceal bleeding and at high risk for treatment failure, the early use of TIPS was associated with significant reductions in treatment failure and in mortality.