1. Transient hemodynamic instability caused by TIPS.
- Author
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Schneider D and Kojecký V
- Subjects
- Humans, Gastrointestinal Hemorrhage etiology, Gastrointestinal Hemorrhage therapy, Hemodynamics, Liver Cirrhosis complications, Esophageal and Gastric Varices therapy, Esophageal and Gastric Varices complications, Portasystemic Shunt, Transjugular Intrahepatic adverse effects, Hypertension, Portal complications
- Abstract
Variceal bleeding belongs to the one of the complications of portal hypertension and is a life-threatening condition. A transjugular intrahepatic portosystemic shunt (TIPS) is indicated in case of failure of the pharmacological and endoscopic therapy, even if it is associated with complications. Stent migration to the heart, is a rare event which may cause perforation of the right cardiac chambers or damage to the tricuspid valve. However, it may not be a problem in some cases. There are two approaches to extraction - percutaneous or surgical. Leaving the stent in situ is possible, especially in polymorbid patients. Choosing an optimal approach often requires interdisciplinary cooperation.
- Published
- 2023
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