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Digestive Disease Interventions 2022; 06(02): 104-107
DOI: 10.1055/s-0042-1746191
Review Article

Post-TIPS Hepatic Encephalopathy

Geert Maleux 
1   Department of Radiology, University Hospitals KU Leuven, Leuven, Belgium
,
Wim Laleman
2   Department of Gastroenterology and Hepatology, University Hospitals KU Leuven, Leuven, Belgium
,
Lawrence Bonne
1   Department of Radiology, University Hospitals KU Leuven, Leuven, Belgium
,
Pieter-Jan Buyck
1   Department of Radiology, University Hospitals KU Leuven, Leuven, Belgium
,
Frederik Nevens
2   Department of Gastroenterology and Hepatology, University Hospitals KU Leuven, Leuven, Belgium
› Author Affiliations Funding Details Not supported by any funding.
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Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) procedures may be complicated by hepatic encephalopathy related to excessive shunting of portal venous blood into the systemic circulation without detoxification by the liver parenchyma. Although liver transplantation is the only curative treatment option, only a few patients can benefit from this procedure. In a first step, medical, conservative management is performed. In case of hepatic encephalopathy, refractory to medical management, several interventional techniques are available to reduce the diameter of the TIPS and subsequently, to reduce the volume of shunted portal venous blood. Technical aspects, devices and outcome results of these reduction procedures will be discussed as well as preventive procedures and devices which can be used during initial TIPS procedures.

Keywords

transjugular intrahepatic portosystemic shunt - shunt reduction - interventional technique

Disclosures

Nothing to disclose by any author.




Publication History

Received: 11 October 2021

Accepted: 19 January 2022

Article published online:
23 May 2022

© 2022. Thieme. All rights reserved.

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