Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000068.xml
Download PDF
Semin intervent Radiol 2001; 18(3): 281-290
DOI: 10.1055/s-2001-17935
DOI: 10.1055/s-2001-17935
TIPS
Further Information
Publication History
Publication Date:
18 October 2001 (online)
ABSTRACT
Transjugular intrahepatic protosystemic shunt (TIPS) is a widely accepted technique for the treatment of gastrointestinal bleeding in cirrhotic patients with portal hypertension. Other indications are the refactory ascites and Budd-Chiari syndrome. This technique, however, is not free of complications with clinical consequences. Faulty patient selection, poor operative technique and recurrent stenosis are the commonest impediments for a successful outcome. This article updates the TIPS procedure with a review of the literature and a description of the authors' experience in performing this technique.
KEYWORD
TIPS - metal stents - portal hypertension
REFERENCES
- 1 Rösch J, Hanafee W N, Snow H. Transjugular portal venography and radiologic portocaval shunt: an experimental study. Radiology . 1969; 92 1112-1114
- 2 Palmaz J D, García F, Sibbitt R R. Expandable intrahepatic portocaval shunt stents in dogs with portal hypertension. AJR Am J Roentgenol . 1986; 147 1251-1254
- 3 Richter G M, Palmaz J C, Nöldge G. Der Transjugulare intrahepatische portosystemische Stent-Shunt (TIPSS). Eine neue nichtoperative, perkutane Methode. Radiologe . 1989; 29 406-411
- 4 LaBerge J M, Ring E J, Gordon R L. Creation of transjugular intrahepatic portosystemic shunts with the Wallstent endoprosthesis: results in 100 patients. Radiology . 1993; 187 413-420
- 5 Longo J, Bilbao J I, Rousseau H. Color doppler US guidance in transjugular placement of intrahepatic portosystemic shunts. Radiology . 1992; 184 281-284
- 6 Rees C R, Niblett R L, Lee S P, Diamond M G, Cripin J S. Use of carbon dioxide as a contrast medium for transjugular intrahepatic portosystemic shunt procedures. J Vasc Interv Radiol . 1994; 5 383-386
- 7 Echenagusia A J, Camuñez F, Simo G. Variceal hemorrhage: efficacy of transjugular intrahepatic portosystemic shunts created with Strecker stents. Radiology . 1994; 192 235-240
- 8 Rousseau H, Vinel J P, Bilbao J I. Transjugular intrahepatic portosystemic shunts using the Wallstent prosthesis: a follow-up study. Cardiovasc Intervent Radiol . 1994; 17 7-11
- 9 Shiffman M L, Jeffers L, Hoofnagle J H, Tralka T S. The role of transjugular intrahepatic portosystemic shunt for treatment of portal hypertension and its complications: a conference sponsored by the national digestive disease advisory board. Hepatology . 1995; 22 1591-1597
- 10 Rössle M, Siegerstetter V, Huber M, Ochs A. The first decade of the transjugular intrahepatic portosystemic shunt (TIPS): state of the art. Liver . 1998; 18 73-89
- 11 Claman P A, Selzmer M, Tuttle-Newhall J E, Harland R C, Suhoki P. Liver transplantation complicated by misplaced TIPS in the portal vein. Ann Surg . 1998; 227 440-445
- 12 Mazziotthi A, Movelli M C, Grazi G L. Beware of TIPS in liver transplant candidates: transjugular intrahepatic portosystemic shunt. Hepatogastroenterology . 1996; 43 1606-1610
- 13 Cabrera J, Maynar M, Granados R. Transjugular intrahepatic portosystemic shunt versus sclerotherapy in the elective treatment of variceal hemorrhage. Gastroenterology . 1996; 110 832-839
- 14 Papatheodoridis G V, Goulis J, Leandro G, Patch D, Burroughs A K. Transjugular intrahepatic portosystemic shunt compared with endoscopic treatment for prevention of variceal rebleeding: a meta-analysis. Hepatology . 1999; 30 612-622
- 15 Luca A, D'Amico G, La Galla R. TIPS for prevention of recurrent bleeding in patients with cirrhosis: meta-analysis of randomized clinical trials. Radiology . 1999; 212 411-421
- 16 Meddi P, Merli M, Lionetti R. Cost analysis for the prevention of variceal rebleeding: a comparision between transjugular intrahepatic portosystemic shunt and endoscopic sclerotherapy in a selected group of Italian cirrhotic patients. Hepatology . 1999; 29 1074-1077
- 17 Haskal Z J, Pentecost M J, Soulen M C. Transjugular intrahepatic portosystemic shunt stenosis and revision: early and midterm results. AJR Am J Roentgenol . 1994; 163 439-444
- 18 Richter G M. Restenosis in TIPSS: is it a really problem? (Abst). In: Multidisciplinary Endovascular Therapy. 2000. Rome
Reference Ris Wihthout Link
- 19 Vivas I, Perotti J P, Elduayen B, Benito A, Bilbao J I. Estenosis portal tras derivación portosistémica percutánea intrahepática (TIPS). Radiología . 1999; 41 457-460
- 20 LaBerge J M, Ferrell L D, Ring E J. Histopathologic study of transjugular intrahepatic portosystemic shunts. J Vasc Interv Radiol . 1991; 2 549-556
- 21 Sanyal A J, Contos M J, Yager D, Zhu Y N, Willey A, Grahan M F. Development of pseudointima and stenosis after transjugular intrahepatic portosystemic shunt: characterization of cell phenotype and function. Hepatology . 1998; 28 22-32
- 22 Ducoin H, El-Khoury J, Rousseau H. Histopathologic analysis of transjugular intrahepatic portosystemic shunts. Hepatology . 1997; 25 1064-1069
- 23 Saxon R R, Mendel-Hartvig J, Corless C L. Bile duct injury as a major cause of stenosis and occlusion in transjugular intrahepatic portosystemic shunts: comparative histopathologic analysis in humans and swine. J Vasc Interv Radiol . 1996; 7 487-497
- 24 Teng G J, Bettmann M A, Hoopes P J. Transjugular intrahepatic portosystemic shunt: effect of bile leak on smooth muscle cell proliferation. Radiology . 1998; 208 799-805
- 25 Haskal Z J, Middllebrook M R. Creation of a stenotic stent to reduce flow through a transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol . 1994; 5 827-829
- 26 Rouillard S S, Bass N M, Roberts J P. Severe hyperbilirrubinemia after creation of transjugular intrahepatic portosystemic shunts: natural history and predictors of outcome. Ann Intern Med . 1998; 128 374-377
- 27 Rubin R A, Haskal Z J, O'Brien C B, Cope C, Brass C A. Transjugular intrahepatic portosystemic shunting: decreased survival for patients with high APACHE II scores. Am J Gastroenterol . 1995; 90 556-563
- 28 Vivas I, Bilbao J I, Girala M. Restenosis en TIPS: papel de las prótesis cubiertas y valor predictivo de los niveles de sales biliares circulantes. Radiología . 2000; 42 439-447
- 29 Sterling K M, Darcy M D. Stenosis of transjugular intrahepatic portosystemic shunts: presentation and management. AJR Am J Roentgenol . 1997; 168 239-244
- 30 Haskal Z J, Carroll J W, Jacobs J E. Sonography of transjugular intrahepatic portosystemic shunts: detection of elevated portosystemic gradients and loss of shunt function. J Vasc Interv Radiol . 1997; 8 549-556
- 31 Concepción L, Ripollés T, Morote V. Evaluación del funcionamiento de las derivaciones portosistémicas intrahepáticas (DPPI) mediante ecografía Doppler. Correlación con los hallazgos angiográficos. Radiología . 1999; 41 337-342
- 32 Longo J M, Bilbao J I, Rousseau H P. Transjugular intrahepatic portosystemic shunt: evaluation with Doppler sonography. Radiology. 1993; 186 529-534
- 33 Grosso M, Zanon E, Spalleni F. Therapeutic alternatives in the treatment of stenosis and recurrent stenosis of TIPS. Cardiovasc Intervent Radiol . 1996; 19 S59(Abst)
- 34 Mag S, Gupta N, Martínez-Monge R. Brachytherapy for the interventional cardiologist and vascular surgeon. Cardiovasc Radiat Med . 1999; 1 160-168
- 35 Axel D I, Kunert W, Gügelmann C. Paclitaxel inhibits arterial smooth muscle cell proliferation and migration in vitro and in vivo using local drug delivery. Circulation . 1997; 96 636-645
- 36 Machan L S, Signore P E. Prevention of restenosis by paclitaxel (Abst). In: Multidisciplinary Endovascular Therapy 2000. Rome
Reference Ris Wihthout Link
- 37 Otal P, Rousseau H, Vinel J P, Ducoin R, Hassissene S, Joffre F. High occlusion rate in experimental transjugular intrahepatic portosystemic shunt created with Dacron-covered nitinol stent. J Vasc Interv Radiol . 1999; 10 183-188
- 38 Palmaz J C. Review of polymeric graft materials for endovascular applications. J Vasc Interv Radiol . 1998; 9 7-13
- 39 Haskal Z J. Improved patency of transjugular intrahepatic portosystemic stents in humans: creation and revision with PTFE stent-grafts. Radiology . 1999; 213 759-766
- 40 Ferral H, Alcantara-Peraza A, Kimura Y, Castañeda-Zuñiga W R. Creation of transjugular intrahepatic portosystemic shunts with use of the Cragg Endopro System I. J Vasc Interv Radiol . 1998; 9 283-287
- 41 Cejna M, Thurnher S, Pidlich J, Kaserer K, Schoder M, Lammer J. Primary implantation of polyester-covered Dacron-covered stentgrafts for transjugular intrahepatic portosystemic stent shunts:a pilot study. Cardiovasc Intervent Radiol . 1999; 22 305-310
- 42 Tanihita H, Saxon R R, Kubota Y. Transjugular intrahepatic portosystemic shunt with silicone-covered Wallstent: results in a swine model. Radiology . 1997; 205 181-184
- 43 Bloch R, Pavnick D, Uchida B T. Polyurethane-covered Dacron-covered stent-grafts for TIPS: results in swine. Cardiovasc Intervent Radiol . 1998; 21 497-500
- 44 Haskal Z J, Davis A, McAllister A, Furth E E. PTFE-encapsulated endovascular stent-graft for transjugular intrahepatic portosystemic shunts: experimental evaluation. Radiology . 1997; 205 682-688
- 45 Nishimine K, Saxon R R, Kichikawa K. Improved transjugular intrahepatic portosystemic shunt patency with PTFE-covered stent-grafts: experimental results in swine. Radiology . 1995; 196 341-347
- 46 Beheshti M V, Dolmatch B L, Jones M P. Technical considerations in covering and deploying a Wallstent endoprosthesis for the salvage of a failing transjugular intrahepatic portosystemic shunt. J Vasc Interv Radiol . 1998; 9 289-293
- 47 Saxon R R, Timmermans H A, Uchida B T. Stent-grafts for revision of TIPS stenoses and occlusions: a clinical pilot study. J Vasc Interv Radiol . 1997; 8 539-548
- 48 Soares G M, Murphy T P. Transcaval TIPS: indications and anatomic considerations. J Vasc Interv Radiol . 1999; 10 1233-1238
- 49 Haskal Z J, Duszak R, Furth E E. Transjugular intrahepatic transcaval portosystemic shunt: the gun-sight approach. J Vasc Interv Radiol . 1996; 7 139-142
- 50 Quinn S F, Kim J, Shely R C. Portal vein to inferior vena cava shunt using a covered endovascular stent: preliminary results. J Vasc Interv Radiol . 1999; 10 262-263
- 51 McLoughlin R F, Rankin R N. Portacaval space anatomy: potential implications for percutaneous portacaval shunts. J Vasc Interv Radiol . 1996; 7 761-767
- 52 Rosemurgy A S, Zervos E E, Goode S E, Black T J, Zwibel B R. Differential effects on portal and effective hepatic blood flow. A comparison between transjugular intrahepatic portasystemic shunt and small diameter H-graft portacaval shunt. Ann Surg . 1997; 225 601-607
- 53 Kaminou T, Rösch J, Yamada R. Percutaneous retroperitoneal splenorenal shunt: an experimental study in swine. Radiology . 1998; 206 799-802