Transjugular intrahepatic portosystemic shunt reduction techniques

Authors

Mason A. Brown, Advocate Aurora HealthFollow
Sebouh Gueyikian, Department of Vascular and Interventional Radiology, NorthShore University HealthSystem, Evanston, Illinois.
Steven Huffman, Advocate Aurora HealthFollow
Laurence Donahue, Advocate Aurora HealthFollow

Recommended Citation

Brown MA, Gueyikian S, Huffman S, Donahue L. Transjugular Intrahepatic Portosystemic Shunt Reduction Techniques. Semin Intervent Radiol. 2023;40(1):27-32. Published 2023 May 4. doi:10.1055/s-0043-1764286

Affiliations

Aurora St. Luke's Medical Center

Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) creation treats complications of portal hypertension in appropriately selected patients by lowering the portal venous pressure. While this can be a lifesaving intervention, portal venous flow diversion is not without potential consequences. Overshunting can lead to hepatic decompensation and encephalopathy. TIPS reduction and TIPS occlusion are therapeutic options used to mitigate overshunting, with reduction being the initial alternative due to retained shunt patency and lower potential for venous thrombosis. Patient selection, techniques for TIPS reduction, and patient outcomes are reviewed in this article.

Type

Article

PubMed ID

37152803