The Transjugular Intrahepatic Portosystemic Shunt: Technique and Instruments

• Published in: Techniques in vascular and interventional radiology Vol. 19; no. 1; pp. 2 - 9
• Main Authors: Keller, Frederick S., Farsad, Khashayar, Rösch, Josef
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2016
• Subjects: Animals; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Clinical Competence; Endovascular Procedures - adverse effects; Endovascular Procedures - instrumentation; Hematology, Oncology and Palliative Medicine; Hepatic Veins - diagnostic imaging; Hepatic Veins - surgery; Humans; Intractable Ascites; Metals; Models, Animal; Phlebography; Portal Hypertension; Portal Vein - diagnostic imaging; Portal Vein - surgery; Portasystemic Shunt, Transjugular Intrahepatic - adverse effects; Portasystemic Shunt, Transjugular Intrahepatic - instrumentation; Postoperative Complications - etiology; Prosthesis Design; Radiography, Interventional; Radiology; Stents; TIPS; Treatment Outcome; Vascular Access Devices; Portal Hypertension; Intractable Ascites; TIPS
• ISSN: 1089-2516; 1557-9808; 1557-9808
• DOI: 10.1053/j.tvir.2016.01.001

Although transjugular intrahepatic portosystemic shunt (TIPS) was first described in 1971, it took 15 more years for technology, in the form of expandable metallic stents, to be developed to make TIPS a viable, widespread clinical procedure. Currently, expanded polytetrafluoroethylene–covered stent grafts that exhibit significantly greater long-term patency are used for TIPS creation by most interventionalists. TIPS creation requires specific interventional skills, tools, and devices for success. In the hands of skillful, experienced interventional radiologists, TIPS creation is performed safely and successfully in greater than 95% of cases.