Interventions in Portal Hypertension

  • Pushpinder Singh KheraEmail author
Part of the Clinical Gastroenterology book series (CG)


Portal hypertension comprises an important health problem in both developed and developing countries. It leads to severe compromise in quality of life for the patient. Whereas liver transplantation forms the basis of definitive treatment, many patients can’t undergo the same due to medical and/or economic issues. Interventional treatment by way of different radiological procedures aims to mitigate the complications arising from portal hypertension. The aim of these interventions may be to decrease the hepatic venous pressure gradient (which is raised in most cases of chronic liver disease), e.g. TIPS, or to treat the presenting cause directly, e.g. BRTO for bleeding gastric varices. These interventions have an established position in the treatment algorithm for portal hypertension.


Portal hypertension Hepatic venous pressure gradient TIPS BRTO Budd Chiari syndrome Ascites Gastric varices 


  1. 1.
    Merkel C, Montagnese S. Hepatic venous pressure gradient measurement in clinical hepatology. Dig Liver Dis. 2011;43:762–7.CrossRefGoogle Scholar
  2. 2.
    Ferral H, Gamboa P, Postoak DW, Albernaz VS, Young CR, Speeg KV, McMahan CA. Survival after elective transjugular intrahepatic portosystemic shunt creation: prediction with model for end-stage liver disease score. Radiology. 2004;231:231–6.CrossRefGoogle Scholar
  3. 3.
    Funes FR, Silva RCMA, Arroyo PC Jr, Duca WJ, Silva AAM, Silva RF. Mortality and complications in patients with portal hypertension who underwent transjugular intrahepatic portosystemic shunt (TIPS) – 12 years’ experience. Arq Gastroenterol. 2012;49(2):143–9.CrossRefGoogle Scholar

Suggested Reading

  1. Kaufman JA, Bromley PJ. Portal and hepatic veins (chapter 14). In: Vascular and interventional radiology. 2nd edn. Elsevier Saunders; 2014.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Department of Diagnostic and Interventional RadiologyAll India Institute of Medical SciencesJodhpurIndia

Personalised recommendations