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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/218607
The evolution of the TIPS placement technique and its applications over four decades
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Transjugular intrahepatic portosystemic shunt (TIPS), a highly effective procedure reducing portal hypertension, has been in use for over seven decades and is now a cornerstone in managing portal hypertension-related complications such as variceal bleeding and ascites. Historically, TIPS has dealt with two main challenges: ensuring stent patency and preventing post-TIPS hepatic encephalopathy. The introduction of PTFE-coated stents markedly reduced the risk of TIPS dysfunction and stent patency is no longer a major concern. However, despite improved patient selection criteria, hepatic encephalopathy continues to be a significant and persistent issue. In addition, the broader application of TIPS in recent decades has brought to light additional, albeit less common, complications, such as post-TIPS heart failure. This review offers a comprehensive overview of TIPS historical evolution, advancements in technique, and its application in the treatment of portal hypertension.
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WANG, Guangchuan, ZHANG, Feng, OJEDA, Asuncion, SHALABY, Sarah, HERNANDEZ GEA, Virginia, GARCIA PAGAN, Joan carles. The evolution of the TIPS placement technique and its applications over four decades. _Digestive and Liver Disease_. 2024. Vol. 56, núm. 12, pàgs. 1980-1988. [consulta: 31 de gener de 2026]. ISSN: 1590-8658. [Disponible a: https://hdl.handle.net/2445/218607]