Transjugular intrahepatic portosystemic stent-shunt: technical factors and new developments.

@article{Tripathi2006TransjugularIP,
  title={Transjugular intrahepatic portosystemic stent-shunt: technical factors and new developments.},
  author={Dhiraj Tripathi and Doris Redhead},
  journal={European journal of gastroenterology & hepatology},
  year={2006},
  volume={18 11},
  pages={1127-33}
}
The introduction of expandable metal stents in the mid 1980s led to the development of transjugular intrahepatic portosystemic stent-shunt (TIPSS) as we know it today. Short-lived detrimental effects on the hyperdynamic circulation in cirrhosis accompany the acute reduction in portal pressure following TIPSS creation. Caution is needed in patients with cardiac dysfunction or pulmonary hypertension. With increasing expertise and careful patient selection, fatal procedural complications are rare… CONTINUE READING