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CC BY 4.0 · Journal of Gastrointestinal and Abdominal Radiology
DOI: 10.1055/s-0045-1810433
Original Article

Outcomes of Transjugular Intrahepatic Portosystemic Shunt Procedures in a Very-Low-Volume Institution: A Retrospective Single-Center Study

Emre C. Çelebioğlu
1   Department of Radiology/Interventional Radiology, School of Medicine, Ankara University, Ankara, Türkiye
,
Sena Bozer Uludağ 
2   Department of Radiology, School of Medicine, Ankara University, Ankara, Türkiye
,
Ramazan Idilman
3   Department of Internal Medicine/Gastroenterology and Hepatology, School of Medicine, Ankara University, Ankara, Türkiye
,
Hale Gökcan
3   Department of Internal Medicine/Gastroenterology and Hepatology, School of Medicine, Ankara University, Ankara, Türkiye
,
Evren Üstüner
2   Department of Radiology, School of Medicine, Ankara University, Ankara, Türkiye
,
Zeynep Melekoğlu Ellik
3   Department of Internal Medicine/Gastroenterology and Hepatology, School of Medicine, Ankara University, Ankara, Türkiye
,
Aydan Kansu Tanca
4   Department of Pediatrics/Pediatric Gastroenterology, School of Medicine, Ankara University, Ankara, Türkiye
,
Meltem Koloğlu
5   Department of Pediatric Surgery, School of Medicine, Ankara University, Ankara, Türkiye
,
Ufuk Ateş
5   Department of Pediatric Surgery, School of Medicine, Ankara University, Ankara, Türkiye
,
Sevinç T. Güvenir
3   Department of Internal Medicine/Gastroenterology and Hepatology, School of Medicine, Ankara University, Ankara, Türkiye
,
Volkan Yilmaz
3   Department of Internal Medicine/Gastroenterology and Hepatology, School of Medicine, Ankara University, Ankara, Türkiye
,
Zehra Işyapan Albayrak
1   Department of Radiology/Interventional Radiology, School of Medicine, Ankara University, Ankara, Türkiye
,
İskender Alaçayir
6   Department of General Surgery, School of Medicine, Ankara University, Ankara, Türkiye
,
Sadık Bilgiç
1   Department of Radiology/Interventional Radiology, School of Medicine, Ankara University, Ankara, Türkiye
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Abstract

Purpose

This study aimed to evaluate the outcomes of transjugular intrahepatic portosystemic shunt (TIPSS) procedures performed in a very-low-volume center over 4 years, focusing on procedural success, complication rates, and clinical effectiveness in managing portal hypertension and related complications.

Materials and Methods

A retrospective analysis was conducted of those who underwent TIPSS at our institution from October 2020 to October 2024. Inclusion criteria were no prior TIPSS or liver surgery and available follow-up data. Data collected included patient demographics, portal hypertension etiology, and procedural details. Success was assessed in technical, hemodynamic, and clinical categories, with complication and readmission rates analyzed.

Results

Ten patients (six male, four female; median age 45.5 years, range 12–74) underwent TIPSS between October 2020 and October 2024. TIPSS indications included refractory ascites (40%) and variceal bleeding (60%), with all procedures elective except one emergency case for acute variceal bleeding. Technical success was achieved in 90%, with one unsuccessful shunt placement in a patient due to extensive hepatic vein and vena cava thrombosis. The mean portosystemic pressure gradient (PSG) decreased from 27 ± 3.32 to 8.56 ± 1.74 mm Hg, with hemodynamic success achieved in all patients (PSG ≤ 12 mm Hg). Clinical success was observed with no rebleeding or large-volume paracentesis required within 30 days postprocedure.

Conclusion

TIPSS can be effectively performed in a very-low-volume center, yielding favorable outcomes with manageable complications, provided it is conducted by experienced physicians following proper protocols.

Keywords

portal hypertension - portosystemic shunt - encephalopathy - variceal bleeding - ascites


Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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