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Dočasná oběhová nestabilita způsobená TIPS
[Transient hemodynamic instability caused by TIPS]

. 2023 Summer ; 69 (E-4) : 16-19.

Language Czech Country Czech Republic Media print

Document type Journal Article

Links

PubMed 37468318
DOI 10.36290/vnl.2023.053
PII: 134830

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.

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