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
The role of transjugular intrahepatic portosystemic shunt in patients with cirrhosis and ascites: Recent evolution and open questions
TL;DR: In this paper , the authors summarized the current knowledge concerning the use of transjugular intrahepatic portosystemic shunt (TIPS) for the treatment of ascites in patients with cirrhosis, from pathophysiology to hemodynamic consequences, patient selection, and technical issues of TIPS insertion.
Book ChapterDOI
Management of Thrombosis in the Liver Transplant Candidate
Alberto Zanetto,Marco Senzolo +1 more
TL;DR: Treatment of thrombotic complications in cirrhotic patients is based on anticoagulation, which has been demonstrated to be both safe and effective and liver transplantation remains the treatment of choice in cirrhotics who have PVT, in cases of hyperacute presentation of BCS, and in cases in which TIPS has failed.
Journal ArticleDOI
A new choice of stent for transjugular intrahepatic portosystemic shunt creation: Viabahn ePTFE covered stent/bare metal stent combination.
TL;DR: The Viabahn ePTFE covered stent/BMS combination was more stable in structure and promised higher short-term stent patency compared with the Fluency eP TFE covered Stent/bare metal stent (BMS) combination.
Journal ArticleDOI
Budd-Chiari syndrome caused by tips malposition: A case report
TL;DR: A case of Budd-Chiari syndrome is reported that occurred in a transplanted cirrhotic liver from malpositioned proximal portion of the TIPS in IVC causing occlusion of the ostia of hepatic veins which was subsequently diagnosed on contrast-enhanced CT.
Journal ArticleDOI
Editorial: cardiac volume overload and pulmonary hypertension in long‐term follow‐up of TIPSS patients
TL;DR: The effects of TIPSS on cardiac function and systolic pulmonary arterial pressures using echocardiography was investigated and isovolumic relaxation times, left atrial enlargement and increased left ventricular wall thickness are recognised as indicators for diastolic dysfunction and found in all cirrhotic patients.
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.
Journal ArticleDOI
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.