Dr. Dylan Suttle and Dr. Harris Chengazi delve into recent advancements in transjugular intrahepatic portosystemic shunt (TIPS) procedures, highlighting the significant reduction in procedural time and improvements in outcomes due to the introduction of Intracardiac Echo (ICE) and the Scorpion Portal Vein Access Series.

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SYNPOSIS

The doctors share their experiences, techniques, and the evolution of their approaches. They emphasize benefits such as high-resolution imaging, cost-effectiveness, and new technologies that make TIPS cases more approachable.

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TIMESTAMPS

00:00 - Introduction

06:17 - Portal Hypertension Clinics

13:17 - Technical Aspects of TIPS Procedures

35:17 - Challenges in Selecting the Right Hepatic Vein

38:48 - Pre-Procedure Planning

39:36 - Puncture Techniques

50:04 - Stent Deployment and Placement

55:35 - Learning Curve of ICE & Advantages

01:07:58 - The Future of TIPS Procedures

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RESOURCES

BackTable VI Episode #123 - TIPS University Freshman Year: Referrals and Pre-op Workup with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/123/tips-university-freshman-year-referrals-pre-op-workup

BackTable VI Episode #124 - TIPS University Sophomore Year: Basic Procedure Technique

with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/124/tips-university-sophomore-year-basic-procedure-technique

BackTable VI Episode #125 - TIPS University Junior Year: Advanced Techniques, ICE, and Splenic Access with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/125/tips-university-junior-year-advanced-techniques-ice-splenic-access

BackTable VI Episode #126 - TIPS University Senior Year: Gunsight Technique & Splenic Closure with Dr. Emmett Lynskey:

https://www.backtable.com/shows/vi/podcasts/126/tips-university-senior-year-gunsight-technique-splenic-closure

Dr. Suttle TIPS Technique Video:

https://www.youtube.com/watch?v=jYfr_rWe5Ck

TIPS prevents further decompensation and improves survival in patients with cirrhosis and portal hypertension in an individual patient data meta-analysis:

https://www.journal-of-hepatology.eu/article/S0168-8278(23)00314-8/abstract

Intracardiac Echocardiography–Guided TIPS: A Primer for New Operators:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540636/