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TIPS Indications and Contraindications—Pushing the Limits: Is Earlier Better?

Current Hepatology Reports, ISSN: 2195-9595, Vol: 18, Issue: 1, Page: 87-95
2019
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Metric Options:   Counts1 Year3 Year

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Article Description

Purpose of Review: To describe the main indications and contraindications of transjugular intrahepatic portosystemic shunt (TIPS) placement in patients with portal hypertension (PH). Recent Findings: An adequate selection of patients helps to identify those who may benefit from TIPS in terms of survival. In patients with acute variceal bleeding and factors of poor prognosis, a pre-emptive use of TIPS is associated with significant reductions in treatment failure and mortality. Similarly, TIPS has shown to improve survival in a highly selected group of patients with cirrhosis and refractory ascites. Summary: PH is a clinical syndrome associated with the appearance of certain complications which can lead to high morbidity and mortality. TIPS placement effectively reduces portal pressure improving the outcomes of patients who present severe and/or refractory complications of PH. However, an adequate selection of candidates seems to be a key factor for improving the outcomes of patients treated with TIPS.

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