Consensus conference on TIPS management: Techniques, indications, contraindications

S. Fagiuoli, R. Bruno, W. Debernardi Venon, F. Schepis, F. Vizzutti, P. Toniutto, M. Senzolo, P. Caraceni, F. Salerno, P. Angeli, R. Cioni, A. Vitale, M. Grosso, A. De Gasperi, G. D'Amico, A. Marzano, AISF TIPS Special Conference

Research output: Contribution to journalArticle

Abstract

The trans jugular intrahepatic Porto systemic shunt (TIPS) is no longer viewed as a salvage therapy or a bridge to liver transplantation and is currently indicated for a number of conditions related to portal hypertension with positive results in survival. Moreover, the availability of self-expandable polytetrafluoroethylene (PTFE)-covered endoprostheses has dramatically improved the long-term patency of TIPS. However, since the last updated International guidelines have been published (year 2009) new evidence have come, which have open the field to new indications and solved areas of uncertainty. On this basis, the Italian Association of the Study of the Liver (AISF), the Italian College of Interventional Radiology-Italian Society of Medical Radiology (ICIR-SIRM), and the Italian Society of Anesthesia, Analgesia and Intensive Care (SIAARTI) promoted a Consensus Conference on TIPS. Under the auspices of the three scientific societies, the consensus process started with the review of the literature by a scientific board of experts and ended with a formal consensus meeting in Bergamo on June 4th and 5th, 2015. The final statements presented here were graded according to quality of evidence and strength of recommendations and were approved by an independent jury. By highlighting strengths and weaknesses of current indications to TIPS, the recommendations of AISF-ICIR-SIRM-SIAARTI may represent the starting point for further studies.
Original languageEnglish
Pages (from-to)121-137
Number of pages17
JournalDigestive and Liver Disease
Volume49
Issue number2
DOIs
Publication statusPublished - Feb 1 2017

Fingerprint

Neck
Anesthesia and Analgesia
Interventional Radiology
Salvage Therapy
Medical Societies
Polytetrafluoroethylene
Portal Hypertension
Critical Care
Radiology
Liver Transplantation
Uncertainty
Guidelines
Liver

Keywords

  • Ascites
  • Cirrhosis
  • GI bleeding
  • Liver transplantation
  • Portal hypertension
  • TIPS

Cite this

Fagiuoli, S., Bruno, R., Venon, W. D., Schepis, F., Vizzutti, F., Toniutto, P., ... Conference, AISF. TIPS. S. (2017). Consensus conference on TIPS management: Techniques, indications, contraindications. Digestive and Liver Disease, 49(2), 121-137. https://doi.org/S1590-8658(16)30777-0 [pii]

Consensus conference on TIPS management: Techniques, indications, contraindications. / Fagiuoli, S.; Bruno, R.; Venon, W. Debernardi; Schepis, F.; Vizzutti, F.; Toniutto, P.; Senzolo, M.; Caraceni, P.; Salerno, F.; Angeli, P.; Cioni, R.; Vitale, A.; Grosso, M.; Gasperi, A. De; D'Amico, G.; Marzano, A.; Conference, AISF TIPS Special.

In: Digestive and Liver Disease, Vol. 49, No. 2, 01.02.2017, p. 121-137.

Research output: Contribution to journalArticle

Fagiuoli, S, Bruno, R, Venon, WD, Schepis, F, Vizzutti, F, Toniutto, P, Senzolo, M, Caraceni, P, Salerno, F, Angeli, P, Cioni, R, Vitale, A, Grosso, M, Gasperi, AD, D'Amico, G, Marzano, A & Conference, AISFTIPSS 2017, 'Consensus conference on TIPS management: Techniques, indications, contraindications', Digestive and Liver Disease, vol. 49, no. 2, pp. 121-137. https://doi.org/S1590-8658(16)30777-0 [pii]
Fagiuoli, S. ; Bruno, R. ; Venon, W. Debernardi ; Schepis, F. ; Vizzutti, F. ; Toniutto, P. ; Senzolo, M. ; Caraceni, P. ; Salerno, F. ; Angeli, P. ; Cioni, R. ; Vitale, A. ; Grosso, M. ; Gasperi, A. De ; D'Amico, G. ; Marzano, A. ; Conference, AISF TIPS Special. / Consensus conference on TIPS management: Techniques, indications, contraindications. In: Digestive and Liver Disease. 2017 ; Vol. 49, No. 2. pp. 121-137.
@article{1f4e109334c14a8f85ac58024ab0653d,
title = "Consensus conference on TIPS management: Techniques, indications, contraindications",
abstract = "The trans jugular intrahepatic Porto systemic shunt (TIPS) is no longer viewed as a salvage therapy or a bridge to liver transplantation and is currently indicated for a number of conditions related to portal hypertension with positive results in survival. Moreover, the availability of self-expandable polytetrafluoroethylene (PTFE)-covered endoprostheses has dramatically improved the long-term patency of TIPS. However, since the last updated International guidelines have been published (year 2009) new evidence have come, which have open the field to new indications and solved areas of uncertainty. On this basis, the Italian Association of the Study of the Liver (AISF), the Italian College of Interventional Radiology-Italian Society of Medical Radiology (ICIR-SIRM), and the Italian Society of Anesthesia, Analgesia and Intensive Care (SIAARTI) promoted a Consensus Conference on TIPS. Under the auspices of the three scientific societies, the consensus process started with the review of the literature by a scientific board of experts and ended with a formal consensus meeting in Bergamo on June 4th and 5th, 2015. The final statements presented here were graded according to quality of evidence and strength of recommendations and were approved by an independent jury. By highlighting strengths and weaknesses of current indications to TIPS, the recommendations of AISF-ICIR-SIRM-SIAARTI may represent the starting point for further studies.",
keywords = "Ascites, Cirrhosis, GI bleeding, Liver transplantation, Portal hypertension, TIPS",
author = "S. Fagiuoli and R. Bruno and Venon, {W. Debernardi} and F. Schepis and F. Vizzutti and P. Toniutto and M. Senzolo and P. Caraceni and F. Salerno and P. Angeli and R. Cioni and A. Vitale and M. Grosso and Gasperi, {A. De} and G. D'Amico and A. Marzano and Conference, {AISF TIPS Special}",
note = "LR: 20170208; CI: Copyright (c) 2016; JID: 100958385; OTO: NOTNLM; 2016/07/10 00:00 [received]; 2016/09/27 00:00 [revised]; 2016/10/17 00:00 [accepted]; 2016/11/26 06:00 [pubmed]; 2016/11/26 06:00 [medline]; 2016/11/26 06:00 [entrez]; ppublish",
year = "2017",
month = "2",
day = "1",
doi = "S1590-8658(16)30777-0 [pii]",
language = "English",
volume = "49",
pages = "121--137",
journal = "Digestive and Liver Disease",
issn = "1590-8658",
publisher = "Elsevier B.V.",
number = "2",

}

TY - JOUR

T1 - Consensus conference on TIPS management: Techniques, indications, contraindications

AU - Fagiuoli, S.

AU - Bruno, R.

AU - Venon, W. Debernardi

AU - Schepis, F.

AU - Vizzutti, F.

AU - Toniutto, P.

AU - Senzolo, M.

AU - Caraceni, P.

AU - Salerno, F.

AU - Angeli, P.

AU - Cioni, R.

AU - Vitale, A.

AU - Grosso, M.

AU - Gasperi, A. De

AU - D'Amico, G.

AU - Marzano, A.

AU - Conference, AISF TIPS Special

N1 - LR: 20170208; CI: Copyright (c) 2016; JID: 100958385; OTO: NOTNLM; 2016/07/10 00:00 [received]; 2016/09/27 00:00 [revised]; 2016/10/17 00:00 [accepted]; 2016/11/26 06:00 [pubmed]; 2016/11/26 06:00 [medline]; 2016/11/26 06:00 [entrez]; ppublish

PY - 2017/2/1

Y1 - 2017/2/1

N2 - The trans jugular intrahepatic Porto systemic shunt (TIPS) is no longer viewed as a salvage therapy or a bridge to liver transplantation and is currently indicated for a number of conditions related to portal hypertension with positive results in survival. Moreover, the availability of self-expandable polytetrafluoroethylene (PTFE)-covered endoprostheses has dramatically improved the long-term patency of TIPS. However, since the last updated International guidelines have been published (year 2009) new evidence have come, which have open the field to new indications and solved areas of uncertainty. On this basis, the Italian Association of the Study of the Liver (AISF), the Italian College of Interventional Radiology-Italian Society of Medical Radiology (ICIR-SIRM), and the Italian Society of Anesthesia, Analgesia and Intensive Care (SIAARTI) promoted a Consensus Conference on TIPS. Under the auspices of the three scientific societies, the consensus process started with the review of the literature by a scientific board of experts and ended with a formal consensus meeting in Bergamo on June 4th and 5th, 2015. The final statements presented here were graded according to quality of evidence and strength of recommendations and were approved by an independent jury. By highlighting strengths and weaknesses of current indications to TIPS, the recommendations of AISF-ICIR-SIRM-SIAARTI may represent the starting point for further studies.

AB - The trans jugular intrahepatic Porto systemic shunt (TIPS) is no longer viewed as a salvage therapy or a bridge to liver transplantation and is currently indicated for a number of conditions related to portal hypertension with positive results in survival. Moreover, the availability of self-expandable polytetrafluoroethylene (PTFE)-covered endoprostheses has dramatically improved the long-term patency of TIPS. However, since the last updated International guidelines have been published (year 2009) new evidence have come, which have open the field to new indications and solved areas of uncertainty. On this basis, the Italian Association of the Study of the Liver (AISF), the Italian College of Interventional Radiology-Italian Society of Medical Radiology (ICIR-SIRM), and the Italian Society of Anesthesia, Analgesia and Intensive Care (SIAARTI) promoted a Consensus Conference on TIPS. Under the auspices of the three scientific societies, the consensus process started with the review of the literature by a scientific board of experts and ended with a formal consensus meeting in Bergamo on June 4th and 5th, 2015. The final statements presented here were graded according to quality of evidence and strength of recommendations and were approved by an independent jury. By highlighting strengths and weaknesses of current indications to TIPS, the recommendations of AISF-ICIR-SIRM-SIAARTI may represent the starting point for further studies.

KW - Ascites

KW - Cirrhosis

KW - GI bleeding

KW - Liver transplantation

KW - Portal hypertension

KW - TIPS

U2 - S1590-8658(16)30777-0 [pii]

DO - S1590-8658(16)30777-0 [pii]

M3 - Article

VL - 49

SP - 121

EP - 137

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

SN - 1590-8658

IS - 2

ER -