Shunting Percutaneous Intrahepatic Portosystemic Shunt (Tipss, Transcutaneous Intrahepatic Porto-Systemic Shunt)

Percutaneous Intrahepatic Portosystemic Shunt (TIPSS) is an effective procedure for the treatment of portal hypertension. Portal hypertension is a condition in which blood cannot flow freely through the hepatic vein because the portal vein is narrowed or blocked. This leads to fluid accumulation in the abdominal cavity, bleeding from varicose veins of the esophagus and stomach, as well as other complications.

The TIPSS procedure creates a shunt between the branches of the portal vein and the hepatic vein, thereby bypassing the bottleneck and restoring normal blood flow. The shunt is created using a special set of instruments, including a catheter and a stent.

The TIPSS procedure is performed under local anesthesia using X-ray guidance. The catheter is inserted through the skin and, under X-ray guidance, is guided through the liver to the portal vein. The stent is then deployed into the portal vein to create a shunt between the portal vein and the hepatic vein. This allows blood to flow freely through the hepatic vein, reducing portal pressure and reducing complications associated with portal hypertension.

The TIPSS procedure is safe and effective, but may cause some complications such as infection, bleeding, and shunt stenosis. Patients who have completed TIPSS should see their doctor regularly to monitor their condition.

TIPSS is an important treatment for portal hypertension that can prevent serious complications and improve patients' quality of life. If you have symptoms of portal hypertension, contact your doctor to find out if TIPSS is an appropriate procedure for you.

Percutaneous Intrahepatic Porto-Systemic Shunt, also known as Tipss or Transcutaneous Intrahepatic Porto-Systemic Shunt, is a treatment for portal hypertension. This condition is characterized by increased pressure in the portal venous system, which is responsible for transporting blood from the intestines to the liver.

Portal hypertension can be caused by many factors, including cirrhosis, portal vein thrombosis, and other liver diseases. This can lead to serious complications such as gastrointestinal bleeding, ascites, hepatic encephalopathy and even death.

Tipss was developed as an alternative to surgery for portal hypertension. This is a procedure in which an artificial connection is created between the portal venous system and the hepatic venous system, thereby bypassing the damaged part of the liver. This reduces the pressure in the portal vein and prevents complications.

The tipss procedure is performed under local anesthesia and involves inserting a catheter through the hepatic vein. Then, using X-ray guidance, the catheter drills a hole in the liver tissue and inserts a stent into the portal vein. This creates an artificial passage between the portal vein and the hepatic venous system.

The Tips procedure has several advantages over surgery. First, it is less invasive and usually requires less recovery time. Secondly, it can be performed in patients for whom surgery is not possible or too risky.

However, the Tipss procedure also has its risks and limitations. This can lead to complications such as infection, bleeding, and stenosis (narrowing) of the stent. Additionally, Tipss is not recommended for all patients, and may not be effective in some cases.

Overall, Tipss is an effective treatment for portal hypertension that can prevent serious complications and improve patients' quality of life. However, as with any medical procedure, it is important to discuss the benefits and risks with your doctor and make an informed decision.

Portal hypertension is a condition in which the blood pressure in the portal vein increases and it becomes less elastic. This condition can lead to severe diseases of the liver and its blood vessels, such as liver cirrhosis, hepatitis, and thrombosis.

To help people with portal hypertension, doctors use bypass surgery. The shunt is an additional path between the splenic veins and the portal system of the liver. Thus, blood from the superior vena cava is in contact with blood from the liver, reducing intrahepatic pressure.

Percutaneous intrahepatic portosystemic shunt (Tipss) is also called transepidermal intrahepatic portacaval shunt (TE).