HYPOTHESIS Distal splenorenal shunt (DSRS) is a safe and effective treatment for patients with Child-Pugh class A and B cirrhosis with recurrent variceal hemorrhage after failed transjugular intrahepatic portosystemic shunt. DESIGN Retrospective case review. SETTING Hepatobiliary surgery and liver transplantation department in a tertiary referral medical center. PATIENTS Between August 1,...

The creation of an intrahepatic portosystemic shunt via a transjugular approach (TIPS) is an interventional radiological procedure used to treat the complications of portal hypertension. TIPS insertion is principally indicated to prevent or arrest variceal bleeding when medical or endoscopic treatments fail, and in the management refractory ascites. This review discusses the development and exe...

IN the last 5 years, the transjugular intrahepatic portosystemic shunt (TIPS) procedure has become widely disseminated. The number of interventional radiologists who are creating shunts has steadily increased as the procedure has become an accepted method of reducing portal vein pressure (1–28). Although the optimal technique for shunt creation continues to evolve, shunts can routinely be creat...

Introduction: Transjugular intrahepatic portosystemic shunt (TIPS) is a valuable alternative to surgery in patients with acute or recurrent variceal bleeding. Variceal bleeding is a serious, lifethreatening condition rendering the particular treatment essential for the survival of the patient. Aim: To show how important the role of the nurse is during the placement of the TIPS based on recent i...

This paper presents some research results on the efficiency of a teaching technique (TIPS) I have used in the Principles of Economics course at the University of Wisconsin-Madison. My presentation will be extremely selective; only the results of five out of some ten different output measures are reported. I shall argue that TIPS represents an improvement over the commonly employed lecture-discu...

We report on progress in the fabrication of cantilever arrays with tips. The process features only one lithographic step for the definition of both the tips and cantilevers. The tips have a uniform height distribution and are placed by selfalignment on the cantilever. The arrays are fabricated for an optical readout technique under development in which the cantilever arrays serve as diffraction...

he introduction of Treasury inflation-protected securities (TIPS) in the United States in 1997 offered multiple potential benefits. First, the development was intended to offer investors a security that would enable them to hedge inflation. Second, by taking on the risk of inflation, the U.S. Treasury Department would not have to pay an inflation risk premium on its securities, thereby lowering...

We report in a 65-year-old man hepatocellular carcinoma adjacent to a transjugular intrahepatic portosystemic shunt stent-graft which was successfully treated with irreversible electroporation (IRE). IRE is a new non-thermal tissue ablation technique which uses electrical pulses to induce cell necrosis by irreversible membrane poration. IRE proved to be more advantageous in the ablation of peri...

We report a case of spondylodiscitis caused by multiresistant Serratia marcescens in a cirrhotic patient who had several Serratia bacteremias after the placement of a transjugular intrahepatic portosystemic shunt (TIPS) device. We concluded that an endovascular stent that can not be removed makes management of recurrent bacteremia difficult. Furthermore, back pain due to bacteremia is indicativ...