Post-TIPS Encephalopathy: Clinical Presentation, Diagnosis, and Management.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2025-09-01 Epub Date: 2025-07-09 DOI:10.1016/j.tvir.2025.101063

Doo Hee Kim, Hassan Anbari, Sameer Gadani, Baljendra Kapoor

引用次数: 0

Abstract

Management of portal hypertension commonly involves the creation of a transjugular intrahepatic portosystemic shunt (TIPS). Despite significant advancement in procedural techniques, hepatic encephalopathy (HE) continues to be one of the most consequential complications following TIPS creation. In this manuscript, we describe in detail several factors associated with the clinical condition of patients and TIPS creation that increase the likelihood of post TIPS development of hepatic encephalopathy. We also discuss the management of the post-TIPS encephalopathic patient.

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tips后脑病：临床表现、诊断和治疗。

门静脉高压的治疗通常包括经颈静脉肝内门静脉系统分流术（TIPS）。尽管手术技术取得了重大进步，肝性脑病（HE）仍然是TIPS术后最严重的并发症之一。在这篇文章中，我们详细描述了与患者临床状况和TIPS产生相关的几个因素，这些因素增加了TIPS后肝性脑病发展的可能性。我们还讨论了tips后脑病患者的处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.70

自引率

0.00%

发文量

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.