Dočasná oběhová nestabilita způsobená TIPS
[Transient hemodynamic instability caused by TIPS]
Language Czech Country Czech Republic Media print
Document type Journal Article
PubMed
37468318
DOI
10.36290/vnl.2023.053
PII: 134830
- Keywords
- TIPS, endoscopic ligation, oesophageal varices, portal hypertension, stent migration, tricuspid regurgitation, variceal bleeding,
- MeSH
- Esophageal and Gastric Varices * therapy complications MeSH
- Gastrointestinal Hemorrhage etiology therapy MeSH
- Hemodynamics MeSH
- Liver Cirrhosis complications MeSH
- Humans MeSH
- Hypertension, Portal * complications MeSH
- Portasystemic Shunt, Transjugular Intrahepatic * adverse effects MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
Variceal bleeding belongs to the one of the complications of portal hypertension and is a life-threatening condition. A transjugular intrahepatic portosystemic shunt (TIPS) is indicated in case of failure of the pharmacological and endoscopic therapy, even if it is associated with complications. Stent migration to the heart, is a rare event which may cause perforation of the right cardiac chambers or damage to the tricuspid valve. However, it may not be a problem in some cases. There are two approaches to extraction - percutaneous or surgical. Leaving the stent in situ is possible, especially in polymorbid patients. Choosing an optimal approach often requires interdisciplinary cooperation.
References provided by Crossref.org