French guidelines on TIPS: Indications and modalities

• Published in: Liver international 2024-09, Vol.44 (9), p.2125-2143
• Main Authors: Larrue, Hélène, Allaire, Manon, Weil‐Verhoeven, Delphine, Barge, Sandrine, Thabut, Dominique, Payance, Audrey, Moga, Lucile, Jézéquel, Caroline, Artru, Florent, Archambeaud, Isabelle, Elkrief, Laure, Oberti, Frédéric, Roux, Charles, Laleman, Wim, Rudler, Marika, Dharancy, Sébastien, Laborde, Nolwenn, Minello, Anne, Mouillot, Thomas, Desjonquères, Elvire, Wandji, Line Caroll Ntandja, Bourlière, Marc, Ganne‐Carrié, Nathalie, Bureau, Christophe, Bonadona, Agnès, Calame, Paul, Després, Cyrielle, Di Martino, Vincent, Dukan, Patrick, Monsel, Antoine, Cervoni, Jean‐Paul, Bouzbib, Charlotte, Plessier, Aurélie, Gottardi, Andrea, Irles, Marie, Sessa, Anna, Pauwels, Arnaud, Ville, Simon, Deltombe, Clément, Barbier, Louise, Chagneau, Carine, Lannes, Adrien, Aube, Christophe, Bouvier, Antoine, Pagan, Juan Carlos Garcia, Maleux, Geert, Weiss, Nicolas, Coilly, Audrey, Faitot, François, Piquet, Marie‐Astrid, Latournerie, Marianne, Loffroy, Romaric, Assenat, Eric, Guiu, Boris
• Format: Article
• Language: English
• Subjects: Ascites; Ascites - etiology; Ascites - therapy; Bleeding; cirrhosis; Esophageal and Gastric Varices - etiology; Esophageal and Gastric Varices - surgery; France; Gastrointestinal Hemorrhage - etiology; Gastrointestinal Hemorrhage - prevention & control; Gastrointestinal Hemorrhage - therapy; guidelines; Human health and pathology; Humans; Hypertension; Hypertension, Portal - surgery; Hypertension, Portal - therapy; Hépatology and Gastroenterology; Life Sciences; Liver; Liver Cirrhosis - complications; Liver Cirrhosis - surgery; Liver diseases; Liver Transplantation - standards; Patient Selection; portal hypertension; Portasystemic Shunt, Transjugular Intrahepatic; Prevention; TIPS; Vascular diseases
• ISSN: 1478-3223; 1478-3231; 1478-3231
• DOI: 10.1111/liv.15976

Transjugular intrahepatic portosystemic shunt (TIPS) has become essential in the treatment or prevention of portal hypertension‐related complications. In the early 1990s, the primary indication was refractory bleeding. It is now proposed for the treatment of ascites for the prevention of bleeding and in patients with vascular diseases of the liver. Thus, there are a growing number of patients being treated with TIPS all over the world. The broadening of indications, the involvement of multiple stakeholders, the need for an accurate selection, the positioning in relation to transplantation and the lack of standardization in pre‐therapeutic assessment, in the procedure itself and in the follow‐up have led the board of the French Association for the Study of the Liver to establish recommendations.