J Korean Radiol Soc.  1995 Jul;33(1):67-72.

Procedure-Related Complications of Transjugular Intrahepatic Portosystemic Shunt (TIPS) and Its Clinical Significance

• Kim YJ
• Kang DS
• Oh HH
• Byun KH
• Kim TG

Abstract

PURPOSE
The purpose was to evaluate the procedure-related complications of the TIPS and its clinical significance.
MATERIALS AND METHODS
The materials consisted of 52 patients who had 57 TIPS procedures for the management of variceal bleeding due to portal hypertension. To detect the occurrence of complications during transhepatic needle puncture(from hepatic vein to the portal vein), contrast material was injected with the withdrawl of the puncture needle.
RESULTS
Procedure-related complications occurred in 28 patients (54%) among 52 patients. The corn lications were biliary tree puncture(15 cases), transperitoneal puncture(14 cases), stent malposition(3 cases) stent migration(1 case), hepatic arteries puncture(1 case), splenic vein perforation(1 case), and paroxysmal tricular tachycardia(1 case). Three patients had acute stent thrombosis with rebleeding immediately after procedure. The procedure was repeated in two patients. One patient was expired due to rebleeding.
CONCLUSION
The procedure related complications were clinically insignificant in most instances, when stent thrombosis or proxysmal ventricular tachycardia was developed.

MeSH Terms

Biliary Tract
Esophageal and Gastric Varices
Hepatic Artery
Hepatic Veins
Humans
Hypertension, Portal
Needles
Portasystemic Shunt, Surgical*
Punctures
Splenic Vein
Stents
Tachycardia, Ventricular
Thrombosis
Zea mays