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The role of transjugular intrahepatic portosystemic shunt in patients with portal hypertension: Advantages and pitfalls

Lee HL, Lee SW

Transjugular intrahepatic portosystemic shunt (TIPS) is an effective interventional procedure to relieve portal hypertension, which is a main mechanism for the development of complications of liver cirrhosis (LC), such as...
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Portal and hepatic vein thrombosis after transjugular intrahepatic portosystemic shunt: Incidence in follow-up imaging and clinical implications

Mandal P, O’Donnell BP, Smith ER, Al-Bayati O, Khalil A, Jen S, Vela M, Lopera J

Background: This study investigated the incidence and clinical outcomes of portal and hepatic vein thrombosis (VT) on imaging after transjugular intrahepatic portosystemic shunt (TIPS). Methods: A retrospective review of records at...
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Transjugular intrahepatic portosystemic shunt and transcatheter embolization treatment of duodenal variceal bleeding

Howe JH, Bream Jr PR, Commander CW, Kim KR

We present a case of a 53-year-old male with alcoholic cirrhosis who presented with acute hematemesis and hematochezia. The patient was initially treated with esophagogastroduodenoscopy guided band ligation of a...
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A new and improved transjugular intrahepatic portosystemic shunt (TIPS) stent graft: Controlled expansion

Trieu H, Lee EW

Initial underdilation of transjugular intrahepatic portosystemic shunt (TIPS) stents has been a widely proposed and commonly practiced technique to balance portal hypertension relief and the adverse effects associated with excess...
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Transjugular intrahepatic portosystemic shunt trends in China: A brief review

JiangQiang X, YuZheng Z

Transjugular intrahepatic portosystemic shunt (TIPS) is now considered as a major treatment option for cirrhotic patients with portal hypertension. Globally, it is getting markedly increase attention, and a similar phenomenon...
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A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound

Kao SD, Lee EW

Portal vein access has historically been the most technically challenging step in the creation of transjugular intrahepatic portosystemic shunts (TIPSs). The use of intravascular ultrasound (IVUS) for guidance of portal...
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Mesocaval Shunt Creation for Jejunal Variceal Bleeding with Chronic Portal Vein Thrombosis

Yoon JK, Kim MD, Lee DY, Han SJ

The creation of transjugular intrahepatic portosystemic shunt (TIPS) is a widely performed technique to relieve portal hypertension, and to manage recurrent variceal bleeding and refractory ascites in patients where medical...
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Comparison of Transjugular Intrahepatic Portosystemic Shunt with Covered Stent and Balloon-Occluded Retrograde Transvenous Obliteration in Managing Isolated Gastric Varices

Kim SK, Lee KA, Sauk S, Korenblat

OBJECTIVE: Although a transjugular intrahepatic portosystemic shunt (TIPS) is commonly placed to manage isolated gastric varices, balloon-occluded retrograde transvenous obliteration (BRTO) has also been used. We compare the long-term outcomes...
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Gastric Variceal Rebleeding by Aberrant Left Gastric Vein after Transjugular Intrahepatic Portosystemic Shunt: A Case Report

Lee JH, Kim YH, Kang WR, Lee YH

The aberrant left gastric vein can be a rare cause of gastric variceal bleeding in portal hypertensive patients. Careful examination of vascular anatomy on CT scan and simultaneous embolization of...
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Clinical outcomes of transjugular intrahepatic portosystemic shunt for portal hypertension: Korean multicenter real-practice data

Kim HK, Kim YJ, Chung WJ, Kim SS, Shim JJ, Choi MS, Kim DY, Jun DW, Um SH, Park SJ, Woo HY, Jung YK, Baik SK, Kim MY, Park SY, Lee JM, Kim YS

BACKGROUND/AIMS: This retrospective study assessed the clinical outcome of a transjugular intrahepatic portosystemic shunt (TIPS) procedure for managing portal hypertension in Koreans with liver cirrhosis. METHODS: Between January 2003 and July...
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Comparison of Shunt Patency and Clinical Outcomes between Bare Stents and Expanded Polytetrafluoroethylene-Covered Stents for Transjugular Intrahepatic Portosystemic Shunts

Seo Y, Weon YC, Hwang JC, Kang BS, Kwon WJ, Shin SH, Nam MJ, Yang CY, Choi SH

PURPOSE: The purpose of this study is to compare shunt patency and clinical outcomes between bare stents and expanded polytetrafluoroethylene (ePTFE) covered stents in patients who had undergone transjugular intrahepatic...
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Parallel Shunt for the Treatment of Transjugular Intrahepatic Portosystemic Shunt Dysfunction

Luo X, Nie L, Tsauo J, Wang Z, Tang C, Li X

OBJECTIVE: To investigate the safety, efficacy and long-term patency of parallel shunts (PS) in the management of the transjugular intrahepatic portosystemic shunt (TIPS) dysfunction. MATERIALS AND METHODS: Between March 2007 and...
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Complete Remission of Refractory Hepatic Hydrothorax in Patient with Advanced Liver Cirrhosis and Hepatocellular Carcinoma Using Transjugular Intrahepatic Portosystemic Shunt

Goong HJ, Kim SG, Park SS, Cho YH, Kim YS, Kim BS

  • KMID: 2317685
  • Soonchunhyang Med Sci.
  • 2012 Jun;18(1):56-60.
Hepatic hydrothorax is defined as the presence of pleural fluid (>500 mL) in the absence of primary cardiac or pulmonary disease. Initial treatments consist of a low salt diet, diuretics,...
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Recanalization of an Occluded Intrahepatic Portosystemic Covered Stent via the Percutaneous Transhepatic Approach

Chan CY, Liang PC

A 41-year-old woman with liver cirrhosis had recurrent portal hypertension and bleeding from esophageal varices due to complete occlusion of a previously inserted transjugular intrahepatic portosystemic shunt stent. Because recanalization...
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Prediction of Mortality after Emergent Transjugular Intrahepatic Portosystemic Shunt Placement: Use of APACHE II, Child-Pugh and MELD Scores in Asian Patients with Refractory Variceal Hemorrhage

Tzeng WS, Wu RH, Lin CY, Chen JJ, Sheu MJ, Koay LB, Lee C

OBJECTIVE: This study was designed to determine if existing methods of grading liver function that have been developed in non-Asian patients with cirrhosis can be used to predict mortality in...
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A Case of Successful Treatment of Stomal Variceal Bleeding with Transjugular Intrahepatic Portosystemic Shunt and Coil Embolization

Han SG, Han KJ, Cho HG, Gham CW, Choi CH, Hwang SY, Song SY

Variceal bleeding from enterostomy site is an unusual complication of portal hypertension. The bleeding, however, is often recurrent and may be fatal. The hemorrhage can be managed with local measures...
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The Clinical Usefulness of Balloon Occluded Retrograde Transvenous Obliteration in Gastric Variceal Bleeding

Kim ES, Park SY, Kwon KT, Lee DS, Park MJ, Chung IK, Park JH, Cho CM, Tak WY, Kweon YO, Kim SK, Choi YW, Seong CK

  • KMID: 1085304
  • Korean J Hepatol.
  • 2003 Dec;9(4):315-323.
BACKGROUND/AIMS: Gastric variceal bleeding is difficult to treat endoscopically because the hemodynamics of the gastric varix are different from that of the esophageal varix. Transjugular intrahepatic portosystemic shunt (TIPS),...
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Effect of Transjugular Intrahepatic Portosystemic Shunt on Systemic Hemodynamics in Liver Cirrhosis

Baik SK, Kim YJ, Park JW, Suh JI, Kim JW, Park SJ, Kim HS, Lee DK, Kwon SO, Uh Y

  • KMID: 2084970
  • Korean J Gastroenterol.
  • 2001 Jan;37(1):21-25.
BACKGROUND/AIMS: We conducted this prospective study to identify whether hemodynamic changes occur immediately after transjugular intrahepatic portosystemic shunt (TIPS) in patients with liver cirrhosis and to find out the factors...
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Clinical Results of the Transjugular Intrahepatic Portosystemic Shunt (TIPS) for the Treatment of Variceal Bleeding

Han SW, Joo YE, Kim HS, Choi SK, Rew JS, Kim JK, Kim SJ

  • KMID: 759516
  • Korean J Intern Med.
  • 2000 Dec;15(3):179-186.
BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPS) has been popularized for the treatment of refractory variceal bleeding. The aim of this study was to assess the safety and long-term effect of...
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The Change of Portal Hemodynamics before and after Transjugular Intrahepatic Portosystemic Shunt according to Variceal Type: Gastric and Esophageal varix

Lee HS, Kim JK, Koe EH, Lim HS, Cho YH, Park JG, Kang HK, Kim SJ

PURPOSE: To investigate the changes occurring in portal hemodynamics in patients with esophageal and gastric varices, according to variceal type, before and after TIPS. MATERIALS AND METHODS: Between January 1994...
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