Portasystemic Shunt, Transjugular Intrahepatic D019168

Analytical, Diagnostic and Therapeutic Techniques, and Equipment [E] » Surgical Procedures, Operative [E04] » Anastomosis, Surgical » Portasystemic Shunt, Surgical » Portasystemic Shunt, Transjugular Intrahepatic

Analytical, Diagnostic and Therapeutic Techniques, and Equipment [E] » Surgical Procedures, Operative [E04] » Cardiovascular Surgical Procedures » Vascular Surgical Procedures » Vascular Grafting » Portasystemic Shunt, Surgical » Portasystemic Shunt, Transjugular Intrahepatic

Description

A type of surgical portasystemic shunt to reduce portal hypertension with associated complications of esophageal varices and ascites. It is performed percutaneously through the jugular vein and involves the creation of an intrahepatic shunt between the hepatic vein and portal vein. The channel is maintained by a metallic stent. The procedure can be performed in patients who have failed sclerotherapy and is an additional option to the surgical techniques of portocaval, mesocaval, and splenorenal shunts. It takes one to three hours to perform. (JAMA 1995;273(23):1824-30)   MeSH

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