Transjugular intrahepatic portosystemic shunt (TIPS) is a unique procedure that has been performed for more than 30 years to treat portal hypertension. Today, it is a widely accepted option for patients whose disease is refractory to medical treatment and is a key intervention used to manage both portal hypertension and its associated comorbidities.
This chapter outlines the indications and surgical approach for TIPS, as well as the anesthetic and medical considerations for patients undergoing the procedure. Due to the impact of cirrhosis on the multiple organ systems in the body, extensive clinical considerations are summarized including preoperative evaluation and optimization, intraoperative management and monitoring, and continued post-operative concerns and possible complications.
KeywordsTransjugular Intrahepatic Portosytemic Shunt (TIPS) Portal hypertension Hepatic venous pressure gradient (HPVG) Cirrhosis Varices End-stage liver disease (ESLD)
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