Transjugular intrahepatic portosystemic shunt (TIPS) complications: what diagnostic radiologists should know

Transjugular intrahepatic portosystemic shunt (TIPS) is an effective therapy for portal hypertension complications and can successfully treat variceal bleeding and refractory ascites. Although TIPS is relatively safe, procedural- or shunt-related morbidity can reach 20%, and procedural complications...

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Bibliographic Details
Published in:Abdominal imaging 2022-12, Vol.47 (12), p.4254-4270
Main Authors: Mamone, Giuseppe, Milazzo, Mariapina, Di Piazza, Ambra, Caruso, Settimo, Carollo, Vincenzo, Gentile, Giovanni, Crinò, Francesca, Marrone, Gianluca, Sparacia, Gianvincenzo, Maruzzelli, Luigi, Miraglia, Roberto
Format: Article
Language:English
Subjects:
Abdomen
Ascites
Catheters
Complications
Diagnostic systems
Esophageal and Gastric Varices
Gastroenterology
Gastrointestinal Hemorrhage - therapy
Hemorrhage
Hepatic encephalopathy
Hepatic Encephalopathy - complications
Hepatology
Humans
Hypertension
Imaging
Implants
Ischemia
Liver
Liver Cirrhosis - complications
Liver diseases
Medical diagnosis
Medicine
Medicine & Public Health
Morbidity
Portasystemic Shunt, Transjugular Intrahepatic
Radiologists
Radiology
Review
Shunts
Stents
Thrombosis
Treatment Outcome
Ultrasonic imaging
Veins & arteries
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Summary:Transjugular intrahepatic portosystemic shunt (TIPS) is an effective therapy for portal hypertension complications and can successfully treat variceal bleeding and refractory ascites. Although TIPS is relatively safe, procedural- or shunt-related morbidity can reach 20%, and procedural complications have a fatality rate of 2%. Delayed recognition and treatment of TIPS complications can lead to life-threatening clinical scenarios. Complications can vary from stent migration or malpositioning to nontarget organ injury, TIPS dysfunction, encephalopathy, or liver failure. This review aims to outline the role of diagnostic radiology in assessing post-TIPS complications. Graphical abstract
ISSN:2366-0058
2366-004X
2366-0058
DOI:10.1007/s00261-022-03685-0