Seminars in Interventional Radiology 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Endovascular Alternatives to Transhepatic Shunt Creation
Semin intervent Radiol 2023; 40: 073-078 DOI: 10.1055/s-0043-1767687Portomesenteric decompression is often necessary to treat patients with refractory symptoms of portal hypertension. When transjugular or direct intrahepatic portosystemic shunt creation is not feasible or is inadequate, surgical portosystemic shunt creation is considered, which carries significant morbidity and mortality in these high-risk patients. Surgery is further complicated in patients with portomesenteric thrombosis who require concurrent thrombectomy and long-term anticoagulation. In this article, we outline the technique for performing advanced en...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Sinha, Ishan Goldman, Daryl T. Patel, Rahul S. Nowakowski, Francis S. Tags: Review Article Source Type: research
A Comprehensive Review of Transjugular Intrahepatic Portosystemic Shunt –Related Complications
Semin intervent Radiol 2023; 40: 055-072 DOI: 10.1055/s-0043-1767670Transjugular intrahepatic portosystemic shunt (TIPS) is one of the most technically complex procedures in interventional radiology, the need to connect two veins with variable anatomy, located in two different planes in hard and many times small cirrhotic livers using a needle, can be quite challenging. Despite more than 30 years of performing TIPS, the complex hemodynamics of the portal system are not fully understood, and sometimes unpredictable alterations of the portal flow can lead to serious unexpected complications. The best strategies to prevent TI...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Lopera, Jorge E. Tags: Review Article Source Type: research
Transjugular Intrahepatic Portosystemic Shunt Reductions
Semin intervent Radiol 2023; 40: 044-054 DOI: 10.1055/s-0043-1764410Transjugular intrahepatic portosystemic shunts (TIPS) are effective in reducing the portosystemic gradient and relieving complications of portal hypertension. Despite optimal patient selection, TIPS placement can be limited due to worsening hepatic encephalopathy and liver failure. In these cases, TIPS reduction may be necessary. A brief history of TIPS reduction and techniques for reduction are reviewed. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstr...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Joseph, Arthur Lopera, Jorge Tags: Review Article Source Type: research
Portal Vein Recanalization –Transjugular Intrahepatic Portosystemic Shunt (PVR-TIPS) Facilitates Liver Transplantation in Cirrhotic Patients with Occlusive Portal Vein Thrombosis
Semin intervent Radiol 2023; 40: 038-043 DOI: 10.1055/s-0043-1764409Portal vein thrombosis (PVT) is a heterogeneous condition with multiple possible etiologies and to varying degrees has historically limited candidacy for liver transplant (LT) in the cirrhotic patient population due to resultant difficulties in constructing a robust portal vein anastomosis. While intraoperative approaches to managing PVT are well-described, methods which approximate normal portal physiology are not always feasible depending on the extent of PVT, and other nonphysiologic techniques are linked with substantial morbidity and poor long-term ou...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Swersky, Adam Borja-Cacho, Daniel Deitch, Zach Thornburg, Bartley Salem, Riad Tags: Review Article Source Type: research
Portal Vein Thrombosis: Introduction to Imaging and Etiology
Semin intervent Radiol 2023; 40: 033-037 DOI: 10.1055/s-0043-1764431Portal vein thrombosis (PVT) is a complex medical condition that presents differently depending on the etiology. Appropriate imaging is necessary to determine the extent of clot, as well as its chronicity. While determining the characteristics of the PVT, imaging may also reveal the underlying cause of PVT. The purpose of this article is to describe the most common imaging modalities used in the evaluation of PVT, and to describe the findings of PVT. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thi...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Gueyikian, Sebouh Ferral, Hector Tags: Review Article Source Type: research
Transjugular Intrahepatic Portosystemic Shunt Reduction Techniques
Semin intervent Radiol 2023; 40: 027-032 DOI: 10.1055/s-0043-1764286Transjugular intrahepatic portosystemic shunt (TIPS) creation treats complications of portal hypertension in appropriately selected patients by lowering the portal venous pressure. While this can be a lifesaving intervention, portal venous flow diversion is not without potential consequences. Overshunting can lead to hepatic decompensation and encephalopathy. TIPS reduction and TIPS occlusion are therapeutic options used to mitigate overshunting, with reduction being the initial alternative due to retained shunt patency and lower potential for venous throm...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Brown, Mason A. Gueyikian, Sebouh Huffman, Steven Donahue, Laurence Tags: Review Article Source Type: research
Smaller Diameter and Adjustable Diameter Transjugular Intrahepatic Portosystemic Shunts
This article explores the question of optimal shunt diameter by examining outcomes for smaller diameter TIPS stent-grafts (<10 mm), underdilated stent-grafts, and variable diameter stent-grafts. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Gupta, Aakash N. Sze, Daniel Y. Rigas, Diamanto Amanda Tags: Review Article Source Type: research
The History of the Transjugular Intrahepatic Portosystemic Shunt
This article will review the development of TIPS from its inception to the current state of care regarding this important minimally invasive option for patients with portal hypertension. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Ferral, Hector Lopez-Benitez, Ruben Tags: Review Article Source Type: research
The Use of Intracardiac Echocardiography in Transjugular Intrahepatic Portosystemic Shunt Procedure
Semin intervent Radiol 2023; 40: 015-018 DOI: 10.1055/s-0043-1764283Transjugular intrahepatic portosystemic shunt (TIPS) is a complex intervention with a steep learning curve that requires centers of expertise to improve technical success and reduce complications. Portal venous access is the most challenging step of the procedure and requires planning and image guidance strategies to prevent vascular or bile duct injury and further complications. Intracardiac echocardiography (ICE) has been reported to be a safe and accurate tool that provides images of the portal vein anatomy in real time. The use of ICE has become the st...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Bayona Molano, Maria del Pilar Rice, Samuel Tags: Review Article Source Type: research
Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation
Semin intervent Radiol 2023; 40: 009-014 DOI: 10.1055/s-0043-1764282Transjugular intrahepatic portosystemic shunt (TIPS) creation is effective in treating the sequelae of decompensated liver cirrhosis—including medically refractory ascites and variceal bleeding—by decompressing the portal venous system through a manmade portosystemic conduit within the liver. However, the altered physiology in which splenomesenteric blood bypasses intrahepatic portal venous perfusion can precipitate varying degrees of hepatic encephalopathy (HE). While the majority of post-TIPS HE cases can be treated medically, some require escalated ...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Trivedi, Surbhi Lam, Katie Ganesh, Ashwin Hasnain, Yasir Hassan, Wassim Herren, Josi Gaba, Ron C. Tags: Review Article Source Type: research
Cirrhosis and Sarcopenia
Semin intervent Radiol 2023; 40: 003-008 DOI: 10.1055/s-0043-1764281Sarcopenia is a progressive muscle wasting syndrome involving loss in skeletal muscle mass, strength, and function. It is closely associated with cirrhosis and its complications with up to more than half of cirrhotic patients demonstrating imaging findings of sarcopenia. The pathogenesis of this syndrome remains complex, including multiple factors involved in skeletal muscle homeostasis, systemic inflammation, and energy dysregulation. Many modalities exist in assessing and measuring sarcopenia. The use of cross-sectional imaging, such as computed tomograp...
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Jain, Shivani Parrotte, Samantha Anyanwu, Chikamuche Fairchild, Alexandra H. Tags: Review Article Source Type: research
Teaching IR from Inside Out
Semin intervent Radiol 2023; 40: 001-002 DOI: 10.1055/s-0043-1767691 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - May 4, 2023 Category: Radiology Authors: Ray, Charles E. Tags: Editorial Source Type: research
Diagnostic and Interventional Radiology in the Management of Post –Liver Transplant Vascular Complications
Semin intervent Radiol 2022; 39: 537-544 DOI: 10.1055/s-0042-1758113 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - December 20, 2022 Category: Radiology Authors: Gonzalez, Ana Cooper, Eric Herren, Josi Lipnik, Andrew J. Xie, Karen L. Tags: Trainee Corner Source Type: research
Lymphorrhea following Tunneled Femoral Central Venous Catheter Placement: Avoidance and Management of a Rare Complication
Semin intervent Radiol 2022; 39: 533-536 DOI: 10.1055/s-0042-1757943 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - December 20, 2022 Category: Radiology Authors: Rzewnicki, Daniel Loya, Mohammed F. Charles, Hearns Kokabi, Nima Nezami, Nariman Majdalany, Bill S. Tags: Morbidity & Mortality Source Type: research
Embolic Agents: Vascular Plugs
Semin intervent Radiol 2022; 39: 526-532 DOI: 10.1055/s-0042-1758112 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Full text (Source: Seminars in Interventional Radiology)
Source: Seminars in Interventional Radiology - December 20, 2022 Category: Radiology Authors: Ghosh, Abheek Xiao, Nicholas Gordon, Andrew C. Funaki, Brian Lewandowski, Robert J. Tags: Back to Basics Source Type: research
