Selection of a portosystemic shunt placement procedure (TIPS) in the treatment of complicated portal hypertension

Aim. To improve treatment results in patients with the life-threatening complications of cirrhotic portal hypertension by making an informed choice optimal TIPS (transjugular intrahepatic portosystemic shunt) variant. Materials and methods. A total 234 suffering from underwent placement. The indications for shunt placement include esophageal gastric varices exhibiting signs bleeding or carrying risk rebleeding (in 172 patients), refractory ascites 57 vein thrombosis setting cirrhosis 5 patients). Patients Group 1 together embolization inflow pathways to varices. In 2, priority was given perioperative therapy, while used only cases severe 3, stage combined blood flow restoration. Immediate late were studied terms complications, as well mortality rate survival rates. Results. maximum observation duration amounted 140 months (11.7 years). efficacy all confirmed a statistically significant decrease pressure gradient. 1, highest associated observed who had undergone (30.6%), lowest noted whose first been embolized then (7.1%). 2 exhibited reduction severity technical feasibility enhanced experience accumulation preoperative planning relying on careful interpretation computed splenoportography data. Conclusion. It is reasonable combine variceal selective radiologically detected gastroesophageal If not accompanied cavernous transformation, can achieve effective decompression provided restored.