trans-jugular-intrahepatic-portosystemic-shunts
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Trans jugular intrahepatic portosystemic shunts

Trans jugular intrahepatic portosystemic shunts

Last Reviewed : 12/29/2020

Transjugular intrahepatic portosystemic shunt or transjugular intrahepatic portosystemic stent shunting (commonly abbreviated as TIPS or TIPSS) is an artificial channel within the liver that establishes communication between the inflow portal veinand the outflow hepatic vein. It is used to treat portal hypertension (which is often due to liver cirrhosis) which frequently leads to intestinal bleeding, life-threatening esophageal bleeding (esophageal varices) and the buildup of fluid within the abdomen (ascites).

An interventional radiologist creates the shunt using an image-guided endovascular (via the blood vessels) approach, with thejugular vein as the usual entry site.

The procedure was first described by Josef Rösch in 1969 at Oregon Health and Science University. It was first used in a human patient by Dr. Ronald Colapinto, of the University of Toronto, in 1982, but did not become reproducibly successful until the development of endovascular stents in 1985. In 1988 the first successful TIPS was realized by M. Rössle, G.M. Richter, G. Nöldge and J. Palmaz at the University of Freiburg. The procedure has since become widely accepted as the preferred method for treating portal hypertension that is refractory to medical therapy, replacing the surgical portocaval shunt in that role.

We researched this topic for you and found the following best online resources. They are categorized into basic, advanced, and research level based on the extent of information you need. You will be taken to the respective websites by pressing on the links below.

 

 

 

Basic information:

https://medlineplus.gov/ency/article/007210.htm meedline plus transjugular intrahepatic portosystemic shunt (tips)

http://www.webmd.com/digestive-disorders/tc/transjugular-intrahepatic-portosystemic-shunt-tips-for-cirrhosis-topic web md transjugular intrahepatic portosystemic shunt (tips) for cirrhosis - topic overview

http://www.uhs.nhs.uk/ourservices/radiology-scansandimaging/patientinformation/tipss.aspx nhs uk tipss (transjugular intrahepatic portosystemic shunt)

http://rad.washington.edu/wordpress/wp-content/uploads/2015/08/transjugular-intrahepatic-portosystemic-shunt-procedure.pdf transjugular intrahepatic portosystemic shunt (tips)

http://umm.edu/health/medical/ency/articles/transjugular-intrahepatic-portosystemic-shunt-tips university of maryland medical center transjugular intrahepatic portosystemic shunt (tips)

http://lifeinthefastlane.com/ccc/transjugular-intrahepatic-porto-systemic-shunt-procedure-tipss/ life in the fast lane transjugular intrahepatic portosystemic shunt (tips)

http://www.nytimes.com/health/guides/surgery/transjugular-intrahepatic-portosystemic-shunt-tips/overview.html new york times transjugular intrahepatic portosystemic shunt (tips)

http://www.healthlinkbc.ca/healthtopics/content.asp?hwid=aa87494 health link transjugular intrahepatic portosystemic shunt (tips)

https://myhealth.alberta.ca/health/pages/conditions.aspx?hwid=aa87494& my health alberta transjugular intrahepatic portosystemic shunt (tips)

 

 

 

Advanced information:

http://www.radiologyinfo.org/en/info.cfm?pg=tips radiology info transjugular intrahepatic portosystemic shunt (tips)

http://emedicine.medscape.com/article/420343-overview medscape transjugular intrahepatic portosystemic shunt – radiology

http://www.medicinenet.com/transjugular_intrahepatic_portosystemic_shunt/article.htm medicine net transjugular intrahepaticportosystemic shunt (tips)

http://radiopaedia.org/articles/transjugular-intrahepatic-portosystemic-shunt-tips-4 radiopedia transjugular intrahepatic portosystemic shunt (tips)

http://www.aetna.com/cpb/medical/data/200_299/0259.html aetna transjugular intrahepatic portosystemic shunt (tips)

http://www.radassociatesnky.com/int_transjugularintrahepaticportosystemicshunt.html radiology associates transjugular intrahepatic portosystemic shunt (tips)

http://www.dovemed.com/common-procedures/radiology-procedures/transjugular-intrahepatic-portosystemic-shunt-tips/ dove med transjugular intrahepatic portosystemic shunt (tips)

 

Research:

http://www.jemds.com/data_pdf/3-kamlesh---rks%20----gir.pdf keshava h. k, chikkalingaiah, kamalesh t. n, vinayaka g. p, shashidhar b. “usefulness of meld score in predicting in-hospital mortality in patients with end stage liver disease: an observational study”. journal of evolution of medical and dental sciences 2015; vol. 4, issue 45, june 04; page: 7734-7740, doi: 10.14260/jemds/2015/1126

http://gut.bmj.com/content/47/2/288.long gut 2000;47:288-295 doi:10.1136/gut.47.2.288 liver disease long term outcome after transjugular intrahepatic portosystemic stent-shunt in non-transplant cirrhotics with hepatorenal syndrome: a phase ii study by k a brensing et al.,

http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4139433/ semin intervent radiol. 2014 sep; 31(3): 235–242. doi: 10.1055/s-0034-1382790 pmcid: pmc4139433 transjugular intrahepatic portosystemic shunt: indications, contraindications, and patient work-up by alexander copelan, md et al.,

http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3036368/ semin intervent radiol. 2006 jun; 23(2): 165–176. doi: 10.1055/s-2006-941447 transjugular intrahepatic portosystemic shunt–related complications and practical solutions by renato ripamonti, m.d et al.,

http://www.hindawi.com/journals/ijh/2011/398291/ sundeep j. punamiya and deepak n. amarapurkar, “role of tips in improving survival of patients with decompensated liver disease,” international journal of hepatology, vol. 2011, article id 398291, 5 pages, 2011. doi:10.4061/2011/398291

http://www.sirweb.org/clinical/cpg/s265.pdf quality improvement guidelines for transjugular intrahepatic portosystemic shunts by ziv j. haskal, md et al., j vasc interv radiol 2003; 14:s265–s270

http://www.sciencedirect.com/science/article/pii/s2213179512000107 influence of transjugular intrahepatic portosystemic shunt in patients awaiting orthotopic liver transplant on post-transplant outcome by patrick gonzales et al.,

http://www.scielo.br/scielo.php?script=sci_arttext&pid=s0004-28032012000200009 arq. gastroenterol. vol.49 no.2 são paulo apr./june 2012 http://dx.doi.org/10.1590/s0004-28032012000200009 original article:mortality and complications in patients with portal hypertension who underwent transjugular intrahepatic portosystemic shunt (tips) - 12 years experience by fernanda ribeiro funes et al.,

http://cid.oxfordjournals.org/content/36/4/407.full infection of transjugular intrahepatic portosystemic shunt devices: three cases and a review of the literature by paul k. armstronga and colin macleod clin infect dis. (2003) 36 (4):407-412.doi: 10.1086/346156

anuradha rao t n, rastogi h, pandey u c. pictorial essay : trans-jugular intra-hepatic porto-systemic shunt (tips). indian j radiol imaging [serial online] 2001 [cited 2016 aug 5];11:17-22. available from: http://www.ijri.org/text.asp?2001/11/1/17/28303

http://www.nejm.org/doi/full/10.1056/nejm199401203300303#t=article the transjugular intrahepatic portosystemic stent-shunt procedure for variceal bleeding by martin rossle et al., n engl j med 1994; 330:165-171january 20, 1994doi: 10.1056/nejm199401203300303

http://www.bloodjournal.org/content/99/11/4246?sso-checked=true transjugular intrahepatic portosystemic shunt for treatment of portal hypertension due to extramedullary hematopoiesis in idiopathic myelofibrosis by bernhard angermayr, manfred cejna, maria schoder, fritz wrba, peter valent, alfred gangl, markus peck-radosavljevic blood 2002 99:4246-4247; doi:10.1182/blood-2002-01-0282

gaba rc, parvinian a. transjugular intrahepatic portosystemic shunt for maintenance of portal venous patency in liver transplant candidates. j clin imaging sci [serial online] 2013 [cited 2016 aug 5];3:29. available from: http://www.clinicalimagingscience.org/text.asp?2013/3/1/29/115761

huang l, yu qs, zhang q, liu jd, wang z. transjugular intrahepatic portosystemic shunt versus surgical shunting in the management of portal hypertension. chin med j [serial online] 2015 [cited 2016 aug 5];128:826-34. available from: http://www.cmj.org/text.asp?2015/128/6/826/152676

http://kjim.org/journal/view.php?number=8005 original article the korean journal of internal medicine 2000; 15(3): 179-186. doi: http://dx.doi.org/10.3904/kjim.2000.15.3.179 clinical results of the transjugular intrahepatic portosystemic shunt (tips) for the treatment of variceal bleeding by sang-woo han et al.,

 

Related videos:

https://www.youtube.com/watch?v=o2u4_hf3234 tipss, transjugular intrahepatic porto-systemic shunt

https://www.youtube.com/watch?v=lx1mbori-9i tipss by dr. robert gish

https://www.youtube.com/watch?v=6ezwu8yr82m transjugular intrahepatic portosystemic stent shunts

https://www.youtube.com/watch?v=ufudtgducyq tips transjugular intrahepatic portosystemic shunt

https://www.youtube.com/watch?v=ud2bhcrvobq tipss procedure for portal hypertension

https://www.youtube.com/watch?v=1uihrhooykg endoprosthesis - transjugular intrahepatic portosystemic shunt (tips)

 

Presentations/quiz/newspaper articles:

http://www.slideshare.net/airwave12/transjugular-intrahepatic-porto-systemic-shunt endoprosthesis - transjugular intrahepatic portosystemic shunt (tips)

http://c.ymcdn.com/sites/www.abdominalradiology.org/resource/resmgr/eduposters/2016posters/90_eisenmenger.pdf transjugular intrahepatic portosystemic shunt:decoding the tips procedure, appearance, and complications for the diagnostic radiologist by laura eisenmenger md

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