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C-0143 - Role of utrasound in assesment of functioning of TIPS.

J. Forner, M. Flores de la Torre, J. Vucetic, C. SenĂ­s Sayas, J. Quirante Cascales; Valencia/ES Type: Educational Exhibit
Area of Interests: Abdomen, Liver, Vascular
Imaging Techniques: Ultrasound-Spectral Doppler, Ultrasound-Colour Doppler, Ultrasound
Procedure: Education
Special Focus: Cirrhosis
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Learning objectives: Learning objectives:   Describe the ultrasound exam in B-mode and Doppler in assesment of functioning and patency of TIPS (Transjugular Intrahepatic Portosystemic Shunts).     Describe the ultrasound exam in B-mode and Doppler in assesment of functioning and patency of TIPS (Transjugu[...]

Background: Hepatic cirrhosis is a common pathology in our milieu. In advanced stages it can present with potentialy letal complications, such as hepatocarcinoma implants, portal hypertension and ascites. When portal hypertension is present, TIPS is an alternative to surgical treatment, in patients with recurre[...]

Findings and procedure details: Findings and procedure details:     Assesment of functioning of TIPS is done by Doppler ultrasound after 1, 3, 6, and then every 6 months after its placement by interventional radiology. Also, it is performed in patients with portal hypertension symptoms, when there is suspicion of disfunc[...]

Conclusion: Conclusion: Doppler ultrasound is the tecnique of choice in follow-up of patients with TIPS. It is non invasive technique, cheap, but also observer dependent.

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References:     -BolondiL, Mazziotti A , Arineti V, et al. Ultrasonography study of portal venoous system in portal hypertension and after portosystemic shunt operation. Surgery 1984; 95: 261  

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