Rejected
at 8:58 p.m. Jul, 24, 2025 ]
by
yelbardisi
Author:
yelbardisi
Type of change:
Content error
Rationale for change
source: https://next.amboss.com/us/article/LS0wZf?utm_source=navbar&utm_medium=anki&utm_campaign=anki&utm_term=tips&guid=PIyHD%2528I%2525%253C9&aid=79f7d232-7b36-4395-b059-e1ee1e13b104&uid=ehl1x19S0#Z968cf3fc530ed473c421f64ebc82fae2
Portosystemic shunts are just connections between the portal and systemic circulation d/t portal hypertension. Therefore TIPS actually manages portal hypertension (seen under management section of portal hypertension on AMBOSS).
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Photo credit: R. Torrance Andrews, MD, CC BY 1.0, via Wikimedia Commons
Steps in a TIPS procedure:
A) Portal hypertension has caused the coronary vein (arrow) and the umbilical vein (arrowhead) to dilate and flow in reverse. This leads to varices in the esophagus and stomach, which can bleed
B) A needle has been introduced (via the jugular vein) and is passing from the hepatic vein into the portal vein
C) The tract is dilated with a balloon
D) After placement of a stent, portal pressure is normalized and the coronary and umbilical veins no longer fill
- Relieves portal hypertension by shunting blood to the systemic circulation
- TIPS stands for transjugular intrahepatic portosystemic shunt
Photo credit: R. Torrance Andrews, MD, CC BY 1.0, via Wikimedia Commons
Steps in a TIPS procedure:
A) Portal hypertension has caused the coronary vein (arrow) and the umbilical vein (arrowhead) to dilate and flow in reverse. This leads to varices in the esophagus and stomach, which can bleed
B) A needle has been introduced (via the jugular vein) and is passing from the hepatic vein into the portal vein
C) The tract is dilated with a balloon
D) After placement of a stent, portal pressure is normalized and the coronary and umbilical veins no longer fill
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid
Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
Watch associated Bootcamp video - Liver : Cirrhosis Clinical Diagnostics
Watch associated Bootcamp video - Liver : Hyperammonemia, TIPS Procedure, and Congestive Hepatopathy Histopathology
Watch associated Bootcamp video - Liver : Cirrhosis Clinical Diagnostics
Watch associated Bootcamp video - Liver : Hyperammonemia, TIPS Procedure, and Congestive Hepatopathy Histopathology
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