Patient Selection, Outcome and Clinical Efficacy of TIPS: A Single Center Experience and Review of the Literature

摘要: Background/Aim: Transjugular intrahepatic portosystemic shunt (TIPS) is known to be an efficient procedure for decompression of portal hypertension and control consecutive complications. We analyzed our experience with the efficacy complications in a variety common uncommon indications. Methods : In this single center retrospective analysis, 38 patients different symptoms complicating hypertension, including vein thrombosis non-variceal GI-bleeding, were treated by TIPS. Treatment was performed conscious sedation guided ultrasonography fluoroscopy, using polytetrafluorethylene-covered stents. Results: The rate technically successful interventions 98%. All shunts patent during follow up period 36 months. clinical disorders leading TIPS implantation, such as ascites variceal bleeding successfully all cases. most frequent complication transient encephalopathy (40%). dysfunction reoccurrence initial noted 39%, cases.  8/38 died period, mostly due progressive deterioration liver function or non-hepatic reasons. Conclusion conclusion, study confirms safe effective treatment associated hypertension. Our results well review current literature suggest standard refractory Budd-Chiari syndrome, emerging significance management thrombosis. addition, maybe value new indications, obscure