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3583: Transjugular intrahepatic portosystemic shunts: Pictorial review and preliminary experience using echo enhanced contrast agent PESDA
Abstract   Open access   Peer reviewed

3583: Transjugular intrahepatic portosystemic shunts: Pictorial review and preliminary experience using echo enhanced contrast agent PESDA

A. Marcelino, M. Pinho, O. Saito, P. Vianna, A. Oliveira, O. Pereira, F. Carnevalle, M. Chammas and G. Cerri
Ultrasound in medicine & biology, Vol.32(5 Supplement), pp.P290-P291
2006
DOI: 10.1016/j.ultrasmedbio.2006.02.1355
url
https://doi.org/10.1016/j.ultrasmedbio.2006.02.1355View
Published (Version of record) Open Access

Abstract

Transjugular intrahepatic portosystemic shunt is a minimally invasive interventional procedure for treatment of portal hypertension and its complications, such as gullet varices and refractory ascites. Although TIPS is an effective procedure, some complications such as stenosis, fracture, early thrombosis, migration and misposition here are frequent. Doppler sonography is used as a follow-up tool, but there is no consensus on which parameter or group of parameters is more efficient for diagnosing stenoses. Now, echo-enhanced contrast agents are available and can be used as a complement for Doppler imaging. The authors reviewed the physiopathology, location and literature parameters for diagnosing TIPS stenosis, pointing which parameters seem to be most reliable. Other complications are also reviewed. Additionally, our initial experience with the echo-enhanced contrast agent PESDA is correlated with angiographic findings, as an attempt to improve the detection of TIPS stenosis.

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