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3 . 2025

TIPS dysfunction: what has to be done?

Abstract

Transjugular Intrahepatic Portosystemic Shunting (TIPS) is a minimally invasive interventional radiology procedure that demonstrates high efficacy in reducing the portocaval pressure gradient. However, despite the effectiveness of this technique, clinical practice reveals cases of shunt dysfunction manifesting as stenosis or thrombosis due to various causes (leakage of thrombogenic bile into the stent lumen, intimal hyperplasia, prolapse of loose liver tissue, etc.). This may lead to recurrence of portal hypertension. In such cases, repeat endovascular intervention becomes both feasible and necessary to restore shunt patency.

The article presents two clinical cases describing various endovascular techniques for correcting dysfunction of previously established portocaval shunts, aimed at reducing the portosystemic gradient.

Keywords: liver cirrhosis; portal hypertension; transjugular intrahepatic portosystemic shunt (TIPS); shunt dysfunction; esophageal varices

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflict of interest.

Authors’ contribution. Study conception and design – Dzhurakulov Sh.R., Vechorko V.I., Fakhriev J.A., Glebov K.G.; data collection and handling – Khokonov М.А., Kryuchkov G.I., Fakhriev J.A.; manuscript preparation – Dzhurakulov Sh.R., Fakhriev J.A.; manuscript revision – Dzhurakulov Sh.R., Severtsev A.N., Chernyaev M.V.

For citation: Dzhurakulov Sh.R., Vechorko V.I., Khokonov М.А., Severtsev A.N., Glebov K.G., Chernyaev M.V., Fakhriev J.A., Kryuchkov G.I. TIPS dysfunction: what has to be done? Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (3): 154–9. DOI: https://doi.org/10.33029/1027-6661-2025-31-3-154-159

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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