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
Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases
Scott W. Biggins,Paulo Angeli,Guadalupe Garcia-Tsao,Pere Ginès,Simon C. Ling,Mitra K. Nadim,Florence Wong,W. Ray Kim +7 more
Journal ArticleDOI
The Transjugular Intrahepatic Portosystemic Shunt: An Update
Nicholas Fidelman,Sharon W. Kwan,Jeanne M. LaBerge,Roy L. Gordon,Ernest J. Ring,Robert K. Kerlan +5 more
TL;DR: The best available evidence supports the use of TIPS in secondary prevention of variceal bleeding and in refractory ascites, although TIPS is also commonly used for other indications such as Budd-Chiari syndrome, hepatic hydrothorax, and acutevariceal hemorrhage.
Journal ArticleDOI
Management of portal vein thrombosis in liver cirrhosis
TL;DR: The possibility of spontaneous resolution of partial PVT questions the necessity of anticoagulation for the treatment ofpartial PVT, and a relatively low recanalization rate of complete PVT after antICOagulation therapy suggests its limited usefulness in patients with complete PVt.
Journal ArticleDOI
Sarcopenia Is Risk Factor for Development of Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt Placement.
Silvia Nardelli,Barbara Lattanzi,Sabrina Torrisi,Francesca Greco,Alessio Farcomeni,Stefania Gioia,Manuela Merli,Oliviero Riggio +7 more
TL;DR: It is found muscle wasting, probably owing to reduced processing of ammonia, to be associated with the development of HE after TIPS placement, and nutritional status should be evaluated in patients with sarcopenia before TIPS placed, which might reduce the incidence of HE.
Journal ArticleDOI
Covered TIPS versus endoscopic band ligation plus propranolol for the prevention of variceal rebleeding in cirrhotic patients with portal vein thrombosis: a randomised controlled trial.
Yong Lv,Xingshun Qi,Chuangye He,Zhengyu Wang,Zhanxin Yin,Jing Niu,Wengang Guo,Wei Bai,Hongbo Zhang,Huahong Xie,Liping Yao,Jianhong Wang,Tao Li,Qiuhe Wang,Hui Chen,Haibo Liu,Enxing Wang,Dongdong Xia,Bohan Luo,Xiaomei Li,Jie Yuan,Na Han,Ying Zhu,Jielai Xia,Hongwei Cai,Zhiping Yang,Kaichun Wu,Daiming Fan,Guohong Han +28 more
TL;DR: Covered TIPS placement in patients with PVT and moderately decompensated cirrhosis was more effective than EBL combined with propranolol for the prevention of rebleeding, with a higher probability of PVT resolution without increasing the risk of OHE and adverse effects, but this benefit did not translate into improved survival.
References
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Journal ArticleDOI
Platelet aggregation and platelet-derived growth factor inhibition for prevention of insufficiency of the transjugular intrahepatic portosystemic shunt: a randomized study comparing trapidil plus ticlopidine with heparin treatment
TL;DR: The study demonstrates that the incidence of type 2 stenosis of the transjugular shunt can be reduced by combined inhibition of platelet aggregation and PDGF activity.
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Long-term outcome of a covered vs. uncovered transjugular intrahepatic portosystemic shunt in Budd-Chiari syndrome.
Sarwa Darwish Murad,Trinh K. Luong,Peter M. T. Pattynama,Bettina E. Hansen,Henk R. van Buuren,Harry L.A. Janssen +5 more
TL;DR: The clinical outcome of a covered vs. uncovered transjugular intrahepatic portosystemic shunt (TIPS) for patients with Budd–Chiari syndrome (BCS) is as yet largely unknown.
Journal ArticleDOI
Risk Factors and Prevention of Early Infection After Implantation or Revision of Transjugular Intrahepatic Portosystemic Shunts (Results of a Randomized Study)
TL;DR: A single dose of second-generationcephalosporine or cefotiam does not prevent post interventional infection and strict adherence toaseptic conditions during intervention and early removal of central venous lines may reduce the rate of postinterventional infection considerably.
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Bidirectionally adjustable TIPS reduction by parallel stent and stent-graft deployment.
Daniel Y. Sze,Gloria L. Hwang,Jeffrey S. Kao,Joan K. Frisoli,Stephen T. Kee,Mahmood K. Razavi,Aijaz Ahmed +6 more
TL;DR: Refinements of the parallel stent/stent-graft technique of flow reduction that is adjustable in either direction are described, which resulted in 1-year survival being seen in only the patient who underwent liver transplantation.
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Coagulation imbalance may not contribute to the development of portal vein thrombosis in patients with cirrhosis
TL;DR: PVT in cirrhotic patients may not result from coagulation imbalance, and the levels of pro- and anti-coagulant factors were not statistically different between the PVT and control groups.