Beware of TIPS in liver transplant candidates

Alighieri Mazziotti, Maria Cristina Morelli, Gian Luca Grazi, Elio Jovine, Michele Masetti, Filippo Pierangeli, Antonino Cavallari

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) reduce portal pressure and prevent bleeding from esophageal varices in cirrhotic patients. The method is often, used in. liver transplant candidates. Two cases of TIPS malpositioning in liver transplantation candidates are reported. In the first patient, the caudal end of the TIPS was situated distally in the portal trunk and during transplantation it was necessary to isolate the spleno-portal confluence in order to ensure anastomosis in an area of the wall without endothelial lesions. In the second case, still on the waiting list, the cephalead end of the stent is situated in the right atrium and in this case a more complex trans-diaphragmatic and probably trans-atrial approach is foreseen to allow extraction of the stent. In cirrhotic patients who may be possible transplant candidates, shorter TIPS must be used and positioned with care intrahepatically. Careful radiological evaluation is recommended, together with a CT scan and possibly angiography, in patients with TIPS before liver transplantation is performed, to avoid surprises with detrimental effects during the transplant.

Original languageEnglish
Pages (from-to)1606-1610
Number of pages5
JournalHepato-Gastroenterology
Volume43
Issue number12
Publication statusPublished - 1996

Fingerprint

Transjugular Intrahepatic Portasystemic Shunt
Transplants
Liver
Liver Transplantation
Stents
Portal Pressure
Waiting Lists
Esophageal and Gastric Varices
Heart Atria
Angiography
Transplantation
Hemorrhage

Keywords

  • Liver transplantation
  • Portal hypertension

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Mazziotti, A., Morelli, M. C., Grazi, G. L., Jovine, E., Masetti, M., Pierangeli, F., & Cavallari, A. (1996). Beware of TIPS in liver transplant candidates. Hepato-Gastroenterology, 43(12), 1606-1610.

Beware of TIPS in liver transplant candidates. / Mazziotti, Alighieri; Morelli, Maria Cristina; Grazi, Gian Luca; Jovine, Elio; Masetti, Michele; Pierangeli, Filippo; Cavallari, Antonino.

In: Hepato-Gastroenterology, Vol. 43, No. 12, 1996, p. 1606-1610.

Research output: Contribution to journalArticle

Mazziotti, A, Morelli, MC, Grazi, GL, Jovine, E, Masetti, M, Pierangeli, F & Cavallari, A 1996, 'Beware of TIPS in liver transplant candidates', Hepato-Gastroenterology, vol. 43, no. 12, pp. 1606-1610.
Mazziotti A, Morelli MC, Grazi GL, Jovine E, Masetti M, Pierangeli F et al. Beware of TIPS in liver transplant candidates. Hepato-Gastroenterology. 1996;43(12):1606-1610.
Mazziotti, Alighieri ; Morelli, Maria Cristina ; Grazi, Gian Luca ; Jovine, Elio ; Masetti, Michele ; Pierangeli, Filippo ; Cavallari, Antonino. / Beware of TIPS in liver transplant candidates. In: Hepato-Gastroenterology. 1996 ; Vol. 43, No. 12. pp. 1606-1610.
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