Prevention and treatment of complications after transjugular intrahepatic portosystemic shunt

• Main Authors: XUE Hui, LI Peijie, LI Weizhi
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Clinical Hepatology 2016-02-01
• Series: Linchuang Gandanbing Zazhi
• Subjects: liver cirrhosis; portal hypertension; portasystemic shunt; transjugular intrahepatic; intraoperative complications; postoperative complications
• Online Access: http://www.lcgdbzz.org/qk_content.asp?id=7137

The application of transjugular intrahepatic portosystemic shunt (TIPS) in the treatment of cirrhotic portal hypertension has been widely accepted both at home and abroad. This article focuses on the fatal complications of TIPS (including intraperitoneal bleeding and acute pulmonary embolism), shunt failure, and recurrent portosystemic hepatic encephalopathy, and elaborates on the reasons for such conditions and related preventive measures, in order to improve the accuracy and safety of intraoperative puncture, reduce common complications such as shunt failure and hepatic encephalopathy, and improve the clinical effect of TIPS in the treatment of cirrhotic portal hypertension.