Consensus conference on TIPS management: Techniques, indications, contraindications

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• 作者：Stefano Fagiuoli^a ; ^{sfagiuoli@asst-pg23.it} ; Raffaele Bruno^b ; Wilma Debernardi Venon^c ; Filippo Schepis^d ; Francesco Vizzutti^e ; Pierluigi Toniutto^f ; Marco Senzolo^g ; Paolo Caraceni^h ; Francesco Salernoⁱ ; Paolo Angeli^j ; Roberto Cioni^k ; Alessandro Vitale^l ; Maurizio Grosso^m ; Andrea De Gasperiⁿ ; Gennaro D&rsquo ; Amico^o ; Alfredo Marzano^c ; for the AISF TIPS Special Conference¹
• 关键词：Ascites ; Cirrhosis ; GI bleeding ; Liver transplantation ; Portal hypertension ; TIPS
• 刊名：Digestive and Liver Disease
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：49
• 期：2
• 页码：121-137
• 全文大小：976 K
• 卷排序：49

文摘

The trans jugular intrahepatic Porto systemic shunt (TIPS) is no longer viewed as a salvage therapy or a bridge to liver transplantation and is currently indicated for a number of conditions related to portal hypertension with positive results in survival. Moreover, the availability of self-expandable polytetrafluoroethylene (PTFE)-covered endoprostheses has dramatically improved the long-term patency of TIPS. However, since the last updated International guidelines have been published (year 2009) new evidence have come, which have open the field to new indications and solved areas of uncertainty. On this basis, the Italian Association of the Study of the Liver (AISF), the Italian College of Interventional Radiology—Italian Society of Medical Radiology (ICIR-SIRM), and the Italian Society of Anesthesia, Analgesia and Intensive Care (SIAARTI) promoted a Consensus Conference on TIPS. Under the auspices of the three scientific societies, the consensus process started with the review of the literature by a scientific board of experts and ended with a formal consensus meeting in Bergamo on June 4th and 5th, 2015. The final statements presented here were graded according to quality of evidence and strength of recommendations and were approved by an independent jury. By highlighting strengths and weaknesses of current indications to TIPS, the recommendations of AISF-ICIR-SIRM-SIAARTI may represent the starting point for further studies.