Guts & Gall

Episode 7 - TIPS

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In this episode of Guts n Gall, we are focusing on the on TIPS (transjugular intrahepatic portosystemic shunt) procedure. We cover:

  • Understanding the normal anatomy of the hepatic vascular system as a foundation for comprehending TIPS.
  • Exploring the indications for TIPS, particularly in patients with variceal bleeding and refractory ascites.
  • Highlighting the contraindications of TIPS, including conditions like congestive heart failure and hepatic encephalopathy.
  • Discussing the pre-procedural steps required for TIPS, such as lab workup, imaging studies, and cardiac testing.
  • Breaking down the TIPS procedure
  • Addressing potential complications of TIPS, including cardiac arrhythmias and liver capsule puncture.


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