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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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| Published in: | Abdominal imaging 2022-12, Vol.47 (12), p.4254-4270 |
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| container_end_page | 4270 |
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| container_title | Abdominal imaging |
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| creator | Mamone, Giuseppe Milazzo, Mariapina Di Piazza, Ambra Caruso, Settimo Carollo, Vincenzo Gentile, Giovanni Crinò, Francesca Marrone, Gianluca Sparacia, Gianvincenzo Maruzzelli, Luigi Miraglia, Roberto |
| description | 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.
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| doi_str_mv | 10.1007/s00261-022-03685-0 |
| format | article |
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Graphical abstract</description><subject>Abdomen</subject><subject>Ascites</subject><subject>Catheters</subject><subject>Complications</subject><subject>Diagnostic systems</subject><subject>Esophageal and Gastric Varices</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Hemorrhage</subject><subject>Hepatic encephalopathy</subject><subject>Hepatic Encephalopathy - complications</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Imaging</subject><subject>Implants</subject><subject>Ischemia</subject><subject>Liver</subject><subject>Liver Cirrhosis - complications</subject><subject>Liver diseases</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Portasystemic Shunt, Transjugular Intrahepatic</subject><subject>Radiologists</subject><subject>Radiology</subject><subject>Review</subject><subject>Shunts</subject><subject>Stents</subject><subject>Thrombosis</subject><subject>Treatment Outcome</subject><subject>Ultrasonic imaging</subject><subject>Veins & arteries</subject><issn>2366-0058</issn><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLxDAUhYMoKqN_wIUU3OiiepO0aepOxBcICo7rkqaZmY5tUnNTxH9vdHzhwk0e3O-cm5tDyB6FYwpQnCAAEzQFxlLgQuYprJFtxoVIAXK5_uu8RXYRlwBARU4pyzfJFheU8Yxn26SbemVxOc7HTvmktcGrhRlUaHUyOB8cvmIwfbzhYrQhOZze3D8cJdr1Q9fqiDmLp8nLQoWkadXcOnxXetW0rnPzFgNGoRu7Jnmy7mWHbMxUh2b3c5-Qx8uL6fl1ent3dXN-dptqDnlICxknKoTksmGZMlIolXFaC1XmqqQl0CarMyihnileCg2S0nomQGtZFBkUOZ-Qw5Xv4N3zaDBUfYvadJ2yxo1YsYIKkJLRMqIHf9ClG72Nr4sUB1kWNGORYitKe4fozawafNsr_1pRqN7jqFZxVDGO6iOOuE7I_qf1WPem-ZZ8fX4E-ArAWLJz4396_2P7BmiNlR4</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Mamone, Giuseppe</creator><creator>Milazzo, Mariapina</creator><creator>Di Piazza, Ambra</creator><creator>Caruso, Settimo</creator><creator>Carollo, Vincenzo</creator><creator>Gentile, Giovanni</creator><creator>Crinò, Francesca</creator><creator>Marrone, Gianluca</creator><creator>Sparacia, Gianvincenzo</creator><creator>Maruzzelli, Luigi</creator><creator>Miraglia, Roberto</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5100-463X</orcidid></search><sort><creationdate>20221201</creationdate><title>Transjugular intrahepatic portosystemic shunt (TIPS) complications: what diagnostic radiologists should know</title><author>Mamone, Giuseppe ; Milazzo, Mariapina ; Di Piazza, Ambra ; Caruso, Settimo ; Carollo, Vincenzo ; Gentile, Giovanni ; Crinò, Francesca ; Marrone, Gianluca ; Sparacia, Gianvincenzo ; Maruzzelli, Luigi ; Miraglia, Roberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-7803676838d24ae86aa431b6a95a91901d4b4090bfa396c0811bf60cc87740753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Ascites</topic><topic>Catheters</topic><topic>Complications</topic><topic>Diagnostic systems</topic><topic>Esophageal and Gastric Varices</topic><topic>Gastroenterology</topic><topic>Gastrointestinal Hemorrhage - 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Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mamone, Giuseppe</au><au>Milazzo, Mariapina</au><au>Di Piazza, Ambra</au><au>Caruso, Settimo</au><au>Carollo, Vincenzo</au><au>Gentile, Giovanni</au><au>Crinò, Francesca</au><au>Marrone, Gianluca</au><au>Sparacia, Gianvincenzo</au><au>Maruzzelli, Luigi</au><au>Miraglia, Roberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transjugular intrahepatic portosystemic shunt (TIPS) complications: what diagnostic radiologists should know</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>47</volume><issue>12</issue><spage>4254</spage><epage>4270</epage><pages>4254-4270</pages><issn>2366-0058</issn><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>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.
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| 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 |
| title | Transjugular intrahepatic portosystemic shunt (TIPS) complications: what diagnostic radiologists should know |
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