Document Detail

Technical advances in transjugular intrahepatic portosystemic shunts.
MedLine Citation:
PMID:  1636029     Owner:  NLM     Status:  MEDLINE    
A transjugular intrahepatic portosystemic shunt (TIPS) can be created percutaneously with the Palmaz balloon-expandable stent. This article describes a transjugular-only approach with a 16-gauge needle. A functional and efficacious shunt can be achieved in most cases with stent diameters of 8-10 mm. Occasionally, a 12-mm-diameter shunt is necessary for effective variceal decompression. The procedure is considered successful when the portosystemic gradient is lowered to 12 mm Hg or less after stent placement. Hepatic vein stenosis in the shunt outflow can develop after the TIPs procedure. This complication has been treated successfully with additional stent placement. TIPS can undoubtedly be performed successfully and safely with a transjugular-only approach; however, the full impact of TIPS on the treatment of portal hypertension remains to be determined.
G Zemel; G J Becker; J W Bancroft; J F Benenati; B T Katzen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  12     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-08-27     Completed Date:  1992-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  615-22; discussion 623-4     Citation Subset:  IM    
Department of Radiology, Miami Vascular Institute, Baptist Hospital of Miami, FL 33176.
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MeSH Terms
Esophageal and Gastric Varices / surgery*
Gastrointestinal Hemorrhage / surgery*
Hepatic Veins / radiography
Hypertension, Portal / surgery*
Portasystemic Shunt, Surgical / methods*
Comment In:
Radiographics. 1993 Nov;13(6):1184   [PMID:  8290719 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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