Causes of TIPS dysfunction

Marco Cura; Alejandro Cura; Rajeev Suri; Fadi El-Merhi; Jorge Lopera; Ghazwan Kroma

doi:10.2214/AJR.07.3534

Causes of TIPS dysfunction

Marco Cura, Alejandro Cura, Rajeev Suri, Fadi El-Merhi, Jorge Lopera, Ghazwan Kroma

Department of Radiology

Research output: Contribution to journal › Review article › peer-review

84 Scopus citations

Abstract

OBJECTIVE. Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective method to control portal hypertension. TIPS creations with bare stents have shown limited and unpredictable patency. In nearly all cases of rebleeding or recurrent ascites after TIPS creation, there is shunt stenosis or occlusion. The purpose of this article is to review the biologic and technical factors that predispose to TIPS failure and how the use of an expandable polytetrafluoroethylene (PTFE)-covered-stent has significantly improved TIPS patency. CONCLUSION. Biologic and technical factors may predispose to shunt failure. The combination of improved technique and expandable PTFE has significantly improved TIPS patency. The need for follow-up venography and secondary interventions has been reduced significantly as a result of improved shunt patency.

Original language	English (US)
Pages (from-to)	1751-1757
Number of pages	7
Journal	American Journal of Roentgenology
Volume	191
Issue number	6
DOIs	https://doi.org/10.2214/AJR.07.3534
State	Published - Dec 2008

Keywords

Covered stent
Interventional radiology
Portal hypertension
Transjugular intrahepatic portosystemic shunt

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.2214/AJR.07.3534

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title = "Causes of TIPS dysfunction",

abstract = "OBJECTIVE. Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective method to control portal hypertension. TIPS creations with bare stents have shown limited and unpredictable patency. In nearly all cases of rebleeding or recurrent ascites after TIPS creation, there is shunt stenosis or occlusion. The purpose of this article is to review the biologic and technical factors that predispose to TIPS failure and how the use of an expandable polytetrafluoroethylene (PTFE)-covered-stent has significantly improved TIPS patency. CONCLUSION. Biologic and technical factors may predispose to shunt failure. The combination of improved technique and expandable PTFE has significantly improved TIPS patency. The need for follow-up venography and secondary interventions has been reduced significantly as a result of improved shunt patency.",

keywords = "Covered stent, Interventional radiology, Portal hypertension, Transjugular intrahepatic portosystemic shunt",

author = "Marco Cura and Alejandro Cura and Rajeev Suri and Fadi El-Merhi and Jorge Lopera and Ghazwan Kroma",

year = "2008",

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language = "English (US)",

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T1 - Causes of TIPS dysfunction

AU - Cura, Marco

AU - Cura, Alejandro

AU - Suri, Rajeev

AU - El-Merhi, Fadi

AU - Lopera, Jorge

AU - Kroma, Ghazwan

PY - 2008/12

Y1 - 2008/12

N2 - OBJECTIVE. Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective method to control portal hypertension. TIPS creations with bare stents have shown limited and unpredictable patency. In nearly all cases of rebleeding or recurrent ascites after TIPS creation, there is shunt stenosis or occlusion. The purpose of this article is to review the biologic and technical factors that predispose to TIPS failure and how the use of an expandable polytetrafluoroethylene (PTFE)-covered-stent has significantly improved TIPS patency. CONCLUSION. Biologic and technical factors may predispose to shunt failure. The combination of improved technique and expandable PTFE has significantly improved TIPS patency. The need for follow-up venography and secondary interventions has been reduced significantly as a result of improved shunt patency.

AB - OBJECTIVE. Transjugular intrahepatic portosystemic shunt (TIPS) creation is an effective method to control portal hypertension. TIPS creations with bare stents have shown limited and unpredictable patency. In nearly all cases of rebleeding or recurrent ascites after TIPS creation, there is shunt stenosis or occlusion. The purpose of this article is to review the biologic and technical factors that predispose to TIPS failure and how the use of an expandable polytetrafluoroethylene (PTFE)-covered-stent has significantly improved TIPS patency. CONCLUSION. Biologic and technical factors may predispose to shunt failure. The combination of improved technique and expandable PTFE has significantly improved TIPS patency. The need for follow-up venography and secondary interventions has been reduced significantly as a result of improved shunt patency.

KW - Covered stent

KW - Interventional radiology

KW - Portal hypertension

KW - Transjugular intrahepatic portosystemic shunt

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M3 - Review article

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SN - 0361-803X

VL - 191

SP - 1751

EP - 1757

JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

IS - 6

ER -

Causes of TIPS dysfunction

Abstract

Keywords

ASJC Scopus subject areas

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