Transjugular intrahepatic portosystemic shunt (TIPS)

Case contributed by Frank Gaillard
Diagnosis not applicable

Presentation

Patient admitted with fluid overload, ascites and pleural effusion. Past history of chronic liver disease due to hepatitis C.

Patient Data

Age: 55 years
Gender: Female

Procedure performed under general anesthetic. A metallic marker (tip of mandrel wire) was placed adjacent to a proximal branch of the right vein under ultrasound guidance. Following placement at the marker, a wedged right hepatic vein pressure was performed following a right-sided internal jugular puncture. The wedge pressure was 12 mmHg, the IVC was 1 mmHg. Following discussion with the referring team it was elected to proceed with the TIPS procedure.

Case Discussion

Transjugular intrahepatic portosystemic shunts (TIPS) are created in patients with intractable portal hypertension.  

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