Curr Hepatology Rep (2017) 16:241–249 DOI 10.1007/s11901-017-0361-y PORTAL HYPERTENSION (J ABRALDES AND E TSOCHATZIS, SECTION EDITORS) Patient Selection for Transjugular Intrahepatic Portosystemic Stent Shunt (TIPSS) Insertion in Variceal Bleeding and Refractory Ascites 1 1 1 A. Dhaliwal & M. J. Armstrong & D. Tripathi Published online: 22 July 2017 Springer Science+Business Media, LLC 2017 Abstract Introduction Purpose of the Review Transjugular intrahepatic portosystemic stent shunt (TIPSS) is used to treat the compli- Transjugular intrahepatic portosystemic stent shunt (TIPSS) is cations of portal hypertension. Patient selection prior to TIPSS an established procedure used to treat the complications of remains paramount for survival. This review aims to summa- portal hypertension by creating a low resistance channel be- rise the key clinical steps in patient selection prior to TIPSS tween the hepatic vein and the portal vein, to divert blood and how patient selection has evolved over the last 5 years. from the portal system into systemic circulation to reduce Recent Findings Model for End-Stage Liver Disease (MELD) portal pressure. and Child-Pugh scoring in combination remain good predic- The indications for TIPSS, which are widely recognised by tors of clinical outcome post TIPSS. Minimal hepatic enceph- international guidelines of the American Association
Current Hepatology Reports – Springer Journals
Published: Jul 22, 2017
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