Transjugular Intrahepatic Portosystemic Stent-Shunt

Abstract

PROGNOSIS OF TIPSS 85 2.1. Aims 86 2.2. Methods 87 2.21. TIPSS insertion, assessment of shunt function 87 2.22. Patients and their follow up and evaluation 92 2.23. Statistical methods in the assessment of outcome and prognosis. 95 2.24. Mental state and Neuropsychological function 97 2.25. Haematological assessment 104 16 2.3. Results 106 2.31. TIPSS insertion 2.32. Results of patient follow up and evaluation 2.32. Results of analysis of prognostic variables in the prediction of variceal rebleeding, mortality, encephalopathy and shunt insufficiency following TIPSS. 2.32. Relationship between PPG and variceal haemorrhage 2.32. Increase in intracranial pressure after TIPSS 2.33. Changes in Neuropsychological and Liver function. 122 2.34. Results of Haematological assessment 129 2.4. Summary Chapter 3 SHUNT DYSFUNCTION: METHODS OF FOLLOW UP, PROGNOSTIC FACTORS AND MECHANISMS OF SHUNT STENOSIS AND OCCLUSION 3.1. Comparison of Doppler ultrasonography and portography in the assessment of shunt dysfunction 136

Gerinnungsstörungen bei Leberzirrhose – Diagnostik und Management

“…Neben pharmakologischen Optionen können zur Therapie einer PVT mit portal-hypertensiven Dekompensationen auch interventionelle Ansätze wie eine TIPS-Anlage mit ggf. Thrombektomie diskutiert werden, wodurch der Pfortaderfluss wieder deutlich erhöht und somit ein Hauptrisikofaktor für eine erneute PVT beseitigt werden kann 55 56 .…”

Expanding Indications of TIPS in the Management of Portal Hypertension Complications

“…39 TIPS is indicated in individuals with recurrent GI bleeding refractory to β-blockers and iron therapy. 3 The published data are described in Table 8 . TIPS has shown significant improvement in the frequency of GI bleeding and transfusion requirements.…”

“…Although the technique was introduced in the 1960s, it required additional upgrades to improve patency and mortality rates. 3 To date, many studies described the effectiveness of TIPS in the management of refractory ascites and esophageal varices (EV). 4 In this article, we discussed the evidence in support of other indications of TIPS ( Table 1 ).…”