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Long-Term Outcome of TIPS

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Portal Hypertension

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

In the 11 years since its introduction into clinical practice (RICHTER et al. 1989; ROSSLE et al. 1988), transjugular intrahepatic portosystemic shunt (TIPS) has become widely accepted as a percutaneous minimally invasive treatment of portal hypertension and its sequelae. Primarily TIPS has been used for controlling acute bleeding from gastroesophageal varices unresponsive to medical and endoscopic therapy and for prophylaxis of its recurrence. It has been particularly useful in patients with compromised synthetic liver function belonging to Pugh-Child classes Band C and has created a bridge for these patients from acute hemorrhage to future elective transplant surgery. Control of hepatogenic ascites refractory to other treatments has recently become another frequent indication for TIPS. Occasionally, TIPS has been used for management of bleeding from intestinal and stomal varices, BuddChiari syndrome, hepatogenic hydrothorax, hepatorenal syndrome, and hypertensive enteropathy.

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Author information

Authors and Affiliations

  1. Professor and Director of Research, Dotter Interventional Institute, Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road, L342, Portland, OR 97201-3098, USA

    J. Rösch MD

  2. Cook Professor and Director, Dotter Interventional Institute, Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road, L605, Portland, OR 97201-3098, USA

    F. S. Keller MD

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  1. J. Rösch MD
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  2. F. S. Keller MD
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Editors and Affiliations

  1. Department of Radiology, University of Rome “La Sapienza” Policlinico Umberto I, Viale Regina Elena n. 324, I-00161, Rome, Italy

    P. Rossi (Professor and Chairman), P. Ricci  & L. Broglia (Professor and Chairman),  & 

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© 2000 Springer-Verlag Berlin Heidelberg

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Rösch, J., Keller, F.S. (2000). Long-Term Outcome of TIPS. In: Rossi, P., Ricci, P., Broglia, L. (eds) Portal Hypertension. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57116-9_25

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  • DOI: https://doi.org/10.1007/978-3-642-57116-9_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63006-4

  • Online ISBN: 978-3-642-57116-9

  • eBook Packages: Springer Book Archive

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