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作者

Guangchuan Wang Feng Zhang Asuncion Ojeda Sarah Shalaby Virginia Hernandez-Gea Juan Carlos Garcia-Pagan

作者单位

³Guangchuan Wang and Feng Zhang contributed equally to this work. ⁵CIBEREHD (Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas), Spain ⁷Departament de Medicina i Ciències de la Salut, Universitat de Barcelona, Spain ¹Barcelona Hepatic Hemodynamic Laboratory, Liver Unit, Hospital Clínic, Institut de Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Spain ⁴Department of Gastroenterology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, PR China ⁶Health Care Provider of the European Reference Network on Rare Liver Disorders (ERN-Rare Liver) ²Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, PR China

刊名

Digestive and Liver Disease

年份

2024

ISSN

1590-8658

摘要

Transjugular intrahepatic portosystemic shunt , a highly effective procedure reducing portal hypertension, has been in use for over seven decades and is now a cornerstone in managing portal hypertension-related complications such as variceal bleeding and ascites. Historically, TIPS has dealt with two main challenges: ensuring stent patency and preventing post-TIPS hepatic encephalopathy. The introduction of PTFE-coated stents markedly reduced the risk of TIPS dysfunction and stent patency is no ...更多

Transjugular intrahepatic portosystemic shunt , a highly effective procedure reducing portal hypertension, has been in use for over seven decades and is now a cornerstone in managing portal hypertension-related complications such as variceal bleeding and ascites. Historically, TIPS has dealt with two main challenges: ensuring stent patency and preventing post-TIPS hepatic encephalopathy. The introduction of PTFE-coated stents markedly reduced the risk of TIPS dysfunction and stent patency is no longer a major concern. However, despite improved patient selection criteria, hepatic encephalopathy continues to be a significant and persistent issue. In addition, the broader application of TIPS in recent decades has brought to light additional, albeit less common, complications, such as post-TIPS heart failure. This review offers a comprehensive overview of TIPS historical evolution, advancements in technique, and its application in the treatment of portal hypertension.收起

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