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Journal of Diagnostic Medical Sonography
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Sonography's Role in the Patient With Transjugular Intrahepatic Portosystemic Shunt

Teresa Foix, BS, RT(R)

University of Nebraska Medical Center, Omaha, Nebraska; 600 South 42nd Street, Omaha, NE 68198-1045.

Joseph C. Anderson, MD

Cheri R. Fisher, BS, RT(R), RDMS, RVT

Brenda Pinkerman, BS, RT(R), RDMS, RVT

University of Nebraska Medical Center, Omaha, Nebraska.

For patients with end-stage liver disease, orthotopic liver transplantation is the only definitive treatment. While awaiting a transplant, many serious complications may occur. Bleeding varices, portal hypertension, and refractory ascites are common sequelae that complicate the treatment of these patients. One form of palliative treatment is the placement of a transjugular intrahepatic portosystemic shunt. Sonography plays an important role in the patient with a transjugular intrahepatic portosystemic shunt. This article discusses the importance of ultrasound throughout the transjugular intrahepatic portosystemic shunt process to include detection of the primary liver disease and its various sequelae, normal alteration in blood flow after placement of transjugular intrahepatic portosystemic shunt, guidelines for the detection of a dysfunctional shunt, and sonographic difficulties in the detection of a dysfunctional shunt.

Key Words: sonography • TIPS • transjugular intrahepatic portosystemic shunt

Journal of Diagnostic Medical Sonography, Vol. 12, No. 6, 274-279 (1996)
DOI: 10.1177/875647939601200605
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?