TIPS- Liverty Flashcards
What does TIPS stand for?
Transjugular Portosystemic Shunt
What is TIPS?
It is an artificial channel within the liver connecting the higher-pressure inflow portal vein with the lower pressure outflow hepatic vein. The intrahepatic shunt is completed by placing a stent graft to maintain the liver tract between the portal vein and the hepatic vein.
Who recieves TIPS?
- Patients with advanced cirrhosis who suffer symptoms from portal hypertension and don’t respond to medication or endoscopic treatment
- Patients who are candidates for a liver transplant
The initial decision to place TIPS is made by:
- Gastroenterologist or hepatologist
TIPS procedures are ________ procedures
inpatient
What is cirrhosis?
A condition in which the liver is fibrotic and permanently damaged.
Chronic liver disease and cirrhosis have been reported to account for _____ deaths in the U.S. each year.
44,000
Cirrhosis can take up to ____ years to develop.
30
What is Portal Hypertension?
an increase in the pressure within the portal vein.
common pharmacological treatments of portal hypertension:
Non-selective betablockers and lactulose
3 Common Cirrhosis Ethiologies
- Viral hepatitis
- Chronic alcohol abuse
- Nonalcoholic fatty liver
(NAFL)
3 Common Symptoms From Portal Hypertension
- Ascites
- Gastroesophageal varices
or bleeding - Hepatic Encephalopathy
3 Main Physician Specialties Involved
- Hepatologist
- Gastroenterologist
- Interventional Radiologist
Where is the a Stent Graft placed between in the TIPS procedure
Between the Portal Vein and Hepatic Vein
What is the Second Line of treatment
TIPS
