Transjugular intrahepatic portosystemic shunt for the patients on the liver transplant list.

Autor:	Ripoll C; Department of Internal Medicine IV (Gastroenterology, Hepatology, Infectious Diseases and Interdisciplinary Endoscopy), Jena University Hospital, Jena, Germany., Rauchfuss F; Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany., Aschenbach R; Department of Radiology, Jena University Hospital, Jena, Germany., Settmacher U; Department of General, Visceral and Vascular Surgery, Jena University Hospital, Jena, Germany., Zipprich A; Department of Internal Medicine IV (Gastroenterology, Hepatology, Infectious Diseases and Interdisciplinary Endoscopy), Jena University Hospital, Jena, Germany.
Jazyk:	angličtina
Zdroj:	Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society [Liver Transpl] 2025 Jan 01; Vol. 31 (1), pp. 105-116. Date of Electronic Publication: 2024 Sep 09.
DOI:	10.1097/LVT.0000000000000429
Abstrakt:	Patients with cirrhosis-associated and portal hypertension-associated complications may benefit from TIPS and/or liver transplantation. In many patients, the decision of whether or not TIPS should be placed prior to liver transplantation is fairly clear-cut. Nevertheless, there are some patients in whom the decision can be more complex. On one hand, TIPS is easily available in contrast to liver transplantation, and patients with TIPS may have clinical improvement. On the other hand, although TIPS may improve the situation of the patient, this improvement may not be sufficient to significantly improve the quality of life. Furthermore, TIPS malposition may be challenging for liver transplantation surgery. This review approaches the advantages and disadvantages of TIPS placement in patients who are candidates for liver transplantation and proposes decision pathways for patients with complications of portal hypertension on the liver transplant waiting list. (Copyright © 2024 American Association for the Study of Liver Diseases.)
Databáze:	MEDLINE
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