Sankhla Tina, Park Peter, Swilley Nick
Department of Radiology and Imaging Science, Emory University School of Medicine, Atlanta, GA.
Department of Radiology and Imaging Science, Emory University School of Medicine, Atlanta, GA.
Tech Vasc Interv Radiol. 2025 Sep;28(3):101055. doi: 10.1016/j.tvir.2025.101055. Epub 2025 Jul 15.
Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive procedure used to manage complications of portal hypertension, including most frequently refractory ascites and variceal bleeding. While TIPS has established indications, contraindications, and procedural guidelines, its scope is expanding with advancements in technology and improved evidence-based patient selection criteria. This article reviews the current indications and contraindications for TIPS, examines potential expanding applications, and discusses consensus guidelines from organizations such as the Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiological Society of Europe (CIRSE), and American Association for the Study of Liver Diseases (AASLD).
经颈静脉肝内门体分流术（TIPS）是一种用于处理门静脉高压并发症的微创手术，最常见的并发症包括难治性腹水和静脉曲张出血。虽然TIPS有既定的适应证、禁忌证和操作指南，但其应用范围随着技术进步和循证患者选择标准的改进而不断扩大。本文回顾了TIPS目前的适应证和禁忌证，探讨了潜在的扩展应用，并讨论了来自介入放射学会（SIR）、欧洲心血管和介入放射学会（CIRSE）以及美国肝病研究协会（AASLD）等组织的共识指南。
