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American Journal of Roentgenology, Vol 163, 105-111, Copyright © 1994 by American Roentgen Ray Society


ARTICLES

Color Doppler sonography of transjugular intrahepatic portosystemic shunts (TIPS)

MC Foshager, H Ferral, DE Finlay, WR Castaneda-Zuniga and JG Letourneau
Department of Radiology, University of Minnesota Hospital and Clinics, Minneapolis 55455.

Transjugular intrahepatic portosystemic shunts (TIPS) have largely replaced surgically created shunts in the treatment of life-threatening sequelae of portal venous hypertension [1-5]. Conventional duplex and color Doppler sonography are proving to be useful tools in the assessment of the stents and their associated hemodynamic changes [2- 5]. A thorough Doppler survey before and immediately after TIPS placement provides a baseline for evaluation of shunt function and procedure-related complications. Routine follow-up studies at regular intervals after the procedure provide noninvasive assessment of shunt patency and late complications. This pictorial essay illustrates the anatomic and hemodynamic abnormalities present with portal hypertension before TIPS and discusses the expected duplex and color Doppler findings after TIPS. The sonographic characteristics of immediate and delayed complications, as well as potential diagnostic pitfalls, are discussed.
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Journal of Diagnostic Medical SonographyHome page
C. Owen and P. Meyers
Sonographic Evaluation of the Portal and Hepatic Systems
Journal of Diagnostic Medical Sonography, September 1, 2006; 22(5): 317 - 328.
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Am. J. Roentgenol.Home page
J. Zizka, P. Elias, A. Krajina, A. Michl, M. Lojik, P. Ryska, J. Maskova, P. Hulek, V. Safka, T. Vanasek, et al.
Value of Doppler Sonography in Revealing Transjugular Intrahepatic Portosystemic Shunt Malfunction: A 5-Year Experience in 216 Patients
Am. J. Roentgenol., July 1, 2000; 175(1): 141 - 148.
[Abstract] [Full Text] [PDF]




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