Transjugular Intrahepatic Portosystemic Shunts in High-Risk Patients

Autor:	Raimund Pichler, Guy E. Johnson, David S. Shin, Scott W. Biggins, Hong Vo
Rok vydání:	2020
Předmět:	Pregnancy Poor prognosis medicine.medical_specialty Cirrhosis High risk patients business.industry Gastroenterology Disease medicine.disease Review article Liver disease Internal medicine medicine Portal hypertension Radiology Nuclear Medicine and imaging Surgery business
Zdroj:	Digestive Disease Interventions. :148-156
ISSN:	2472-873X 2472-8721
DOI:	10.1055/s-0040-1712117
Popis:	Cirrhosis with complications of portal hypertension portends a poor prognosis. Transjugular intrahepatic portosystemic shunts (TIPS) can successfully treat some of these complications in select patients. While the safety and efficacy of TIPS have improved significantly over the past decade, certain patients are categorized as high-risk based on various demographic, laboratory, and comorbid factors. Herein, we provide an in-depth review of TIPS in these settings, including high model for end-stage liver disease score, hepatic malignancy, advanced age, cardiac disease, renal dysfunction, and pregnancy, and discuss their impact on patient selection and procedural considerations.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2b4daad91ef28d6dcf9641d4231c1e07 https://doi.org/10.1055/s-0040-1712117 Zobrazit plný text záznamu