Technical advances in transjugular intrahepatic portosystemic shunts.

摘要: A transjugular intrahepatic portosystemic shunt (TIPS) can be created percutaneously with the Palmaz balloon-expandable stent. This article describes a transjugular-only approach 16-gauge needle. functional and efficacious achieved in most cases stent diameters of 8-10 mm. Occasionally, 12-mm-diameter is necessary for effective variceal decompression. The procedure considered successful when gradient lowered to 12 mm Hg or less after placement. Hepatic vein stenosis outflow develop TIPs procedure. complication has been treated successfully additional TIPS undoubtedly performed safely approach; however, full impact on treatment portal hypertension remains determined.