# name
The evolution of the TIPS placement technique and its applications over four decades

# metadata.dc.description.abstract[].value
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.

# metadata.dc.rights[].value
cc-by-nc-nd (c) Editrice Gastroenterologica Italiana S.r.l, 2024

# metadata.dc.source[].value
Articles publicats en revistes (Medicina)

# metadata.dc.title[].value
The evolution of the TIPS placement technique and its applications over four decades