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Jul 24, 2023 · Transjugular intrahepatic portosystemic shunt (TIPS) is a well-established percutaneous modality for decreasing portal hypertension. The major clinical indications for transjugular intrahepatic portosystemic shunts include refractory variceal hemorrhage and refractory ascites.
Sep 29, 2020 · Spontaneous portosystemic shunts (SPSSs) are communications among the venous portal system and the venous systemic circulation that bypass the liver. 1 Their presence has been related to portal hypertension (PH). 2 However, many questions regarding their prevalence, pathophysiology and repercussion in liver disease have not been completely eluci...
Oct 27, 2016 · Portosystemic shunt (PSS) is a common condition and usually follows portal hypertension or liver trauma, including iatrogenic injury [ 1 – 3 ]. However, congenital or spontaneous PSS can also occur and presents diagnostic along with management challenges [ 3 ].
Congenital portosystemic shunts (CPSS) are rare vascular malformations that create an abnormal connection between portal and systemic veins resulting in complete or partial diversion of the portal flow away from the liver to the systemic venous system.
Portosystemic encephalopathy is a neuropsychiatric syndrome that can develop in patients with liver disease. It most often results from high gut protein or acute metabolic stress (eg, gastrointestinal bleeding, infection, electrolyte abnormality) in a patient with portosystemic shunting.
Jul 12, 2018 · Congenital portosystemic shunts are vascular malformations leading to systemic complications. Congenital portosystemic shunts can be diagnosed at any age. What Is New. Occlusion test with portosystemic gradient measurement is essential before closure.
5 days ago · Portal hypertension from chronic liver disease leads to the formation of collateral blood vessels called spontaneous portosystemic shunts (SPSS). These shunts may form from existing vessels or through neo-angiogenesis. Their location affects clinical outcomes due to varying risks and complications. This review summarizes current knowledge on SPSS, covering their clinical impact and management ...
Dec 18, 2023 · Placement of a transjugular intrahepatic portosystemic shunt (TIPS) reduces elevated portal pressure by creating a low-resistance channel between the hepatic vein and an intrahepatic branch of the portal vein using angiographic techniques ( figure 1 ).
Oct 19, 2023 · In July of 2022, experts and members of the IRCPSS (International Registry of Congenital Portosystemic Shunts) met to discuss these issues, with the aim of reaching a consensus on some critical aspects of management and outlining priorities for the generation of evidence.
Jun 22, 2024 · Transjugular intrahepatic portosystemic shunt (TIPS) is an established procedure for the treatment of several complications of portal hypertension (PH), including non-neoplastic portal vein thrombosis (PVT). Selection criteria for TIPS in PVT are not yet well established.
