TIPS in Patients With Refractory Ascites: Review of Literature and Current Recommendations.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Techniques in Vascular and Interventional Radiology Pub Date : 2025-09-01 Epub Date: 2025-07-06 DOI:10.1016/j.tvir.2025.101057

Matthew Abad-Santos, James Jeffries, Charles Hua, Guy E Johnson

引用次数: 0

Abstract

In cirrhotic patients, refractory ascites (RA) is a devastating consequence of portal hypertension and is associated with high morbidity and mortality. Over the past quarter century, transjugular intrahepatic portosystemic shunt (TIPS) placement has become a key treatment for patients with RA, but there has been an evolution of patient evaluation, stents, and procedural techniques during this time. As such, the rates of ascites control, survival, and associated hepatic encephalopathy have evolved as well. This review examines the evidence and current recommendations for TIPS in the setting of RA.

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TIPS在难治性腹水患者中的应用：文献综述和当前建议。

在肝硬化患者中，难治性腹水（RA）是门脉高压的破坏性后果，并与高发病率和死亡率相关。在过去的四分之一世纪里，经颈静脉肝内门静脉系统分流术（TIPS）的放置已成为RA患者的关键治疗方法，但在此期间，患者评估、支架和手术技术都发生了变化。因此，腹水控制率、存活率和相关的肝性脑病也发生了变化。本综述审查了在RA背景下使用TIPS的证据和目前的建议。

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.