ICU and TIPS, our experience in a community hospital in spain
Autor: | AM Leal Micharet, M. Sigcha Sigcha, J Ferrero Calleja, A Martín Vivas, M Yagüe Huertas, N de la Calle Pedrosa, Á Gabán Díez, R Ruiz de Luna, I Temprano Gómez, A Hernández Tejedor, AI González Jiménez, A Algora Weber |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Cirrhosis business.industry Fistula medicine.medical_treatment Stent Critical Care and Intensive Care Medicine medicine.disease Thrombosis Surgery Ascites Poster Presentation Hydrothorax medicine Derivation medicine.symptom business Transjugular intrahepatic portosystemic shunt |
Zdroj: | Intensive Care Medicine Experimental |
ISSN: | 2197-425X |
Popis: | Transjugular intrahepatic portosystemic shunt (TIPS) is a non selective portosystemic derivation created by endovascular techniques. A transhepatic comunication between one of the hepatic veins and a branch of portal vein is created using a needle system. Intrahepatic trajectory remains open by placing a metallic stent. TIPS is an effective method to relieve the portal system pressure. Portal hipertension is one of the major consecuences in cirrhosis, and its main complications are variceal bleeding, refractary ascites (RA) and hydrothorax. Being these ones the principal indications for TIPS. The complications related to the TIPS procedure are these related to the technique: access (capsular laceration, intraperitoneal bleeding, hepatic infarction, fistula, hemobilia) or stent (thrombosis, occlusion, migration, sepsis); or related to portosistemic shunt (hepatic encephalopaty (HE), hemodynamic failure, sepsis). |
Databáze: | OpenAIRE |
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