{"title":"Intrahepatic Portosystemic Shunt (TIPS): Evolving Indications.","authors":"Tina Sankhla, Peter Park, Nick Swilley","doi":"10.1016/j.tvir.2025.101055","DOIUrl":null,"url":null,"abstract":"<p><p>Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive procedure used to manage complications of portal hypertension, including most frequently refractory ascites and variceal bleeding. While TIPS has established indications, contraindications, and procedural guidelines, its scope is expanding with advancements in technology and improved evidence-based patient selection criteria. This article reviews the current indications and contraindications for TIPS, examines potential expanding applications, and discusses consensus guidelines from organizations such as the Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiological Society of Europe (CIRSE), and American Association for the Study of Liver Diseases (AASLD).</p>","PeriodicalId":51613,"journal":{"name":"Techniques in Vascular and Interventional Radiology","volume":"28 3","pages":"101055"},"PeriodicalIF":1.3000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Vascular and Interventional Radiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.tvir.2025.101055","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/15 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive procedure used to manage complications of portal hypertension, including most frequently refractory ascites and variceal bleeding. While TIPS has established indications, contraindications, and procedural guidelines, its scope is expanding with advancements in technology and improved evidence-based patient selection criteria. This article reviews the current indications and contraindications for TIPS, examines potential expanding applications, and discusses consensus guidelines from organizations such as the Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiological Society of Europe (CIRSE), and American Association for the Study of Liver Diseases (AASLD).
期刊介绍：
Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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