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Transjugular intrahepatic portosystemic shunt (TIPS) complications: what diagnostic radiologists should know

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Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) is an effective therapy for portal hypertension complications and can successfully treat variceal bleeding and refractory ascites. Although TIPS is relatively safe, procedural- or shunt-related morbidity can reach 20%, and procedural complications have a fatality rate of 2%. Delayed recognition and treatment of TIPS complications can lead to life-threatening clinical scenarios. Complications can vary from stent migration or malpositioning to nontarget organ injury, TIPS dysfunction, encephalopathy, or liver failure. This review aims to outline the role of diagnostic radiology in assessing post-TIPS complications.

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Authors and Affiliations

  1. Radiology Unit, Department of Diagnostic and Therapeutic Services, IRCCS ISMETT (Mediterranean Institute for Transplantation and Advanced Specialized Therapies), via Tricomi 5, 90127, Palermo, Italy

    Giuseppe Mamone, Mariapina Milazzo, Ambra Di Piazza, Settimo Caruso, Vincenzo Carollo, Giovanni Gentile, Francesca Crinò, Gianluca Marrone, Gianvincenzo Sparacia, Luigi Maruzzelli & Roberto Miraglia

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  1. Giuseppe Mamone
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Mamone, G., Milazzo, M., Di Piazza, A. et al. Transjugular intrahepatic portosystemic shunt (TIPS) complications: what diagnostic radiologists should know. Abdom Radiol 47, 4254–4270 (2022). https://doi.org/10.1007/s00261-022-03685-0

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