Transjugular Intrahepatic Portosystemic Shunt-Related Complications and Practical Solutions

Renato Ripamonti; Marc Alonzo; Nilesh H. Patel; Hector Ferral

doi:10.1055/s-2006-941447

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Semin intervent Radiol 2006; 23(2): 165-176
DOI: 10.1055/s-2006-941447

Transjugular Intrahepatic Portosystemic Shunt-Related Complications and Practical Solutions

Renato Ripamonti¹ , Hector Ferral¹ , Marc Alonzo¹ , Nilesh H. Patel¹

¹Department of Diagnostic Radiology, Section of Interventional Radiology, Rush University Medical Center, Chicago Illinois

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Publication Date:
16 May 2006 (online)

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ABSTRACT

Despite the clinical complexity of patients with severe liver disease and the technical demands associated with the creation of a transjugular intrahepatic portosystemic shunt (TIPS), the major complication rate of this procedure is less than 5%. Delayed recognition and treatment of complications related to TIPS can have life-threatening consequences. This article provides an overview of the spectrum of periprocedural and delayed complications related to the performance of TIPS and offers the reader pearls for both avoiding and managing those complications.

KEYWORDS

Hypertension-portal - complications-transjugular portosystemic shunts - portal vein perforation - metallic stents-complications

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Hector FerralM.D.

Department of Diagnostic Radiology, Section of Interventional Radiology, Rush University Medical Center

1653 W. Congress Parkway, Chicago, IL 60612