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What is TIPS?
Transjugular intrahepatic portosystemic shunt (TIPS) is a non-surgical procedure to create new connections between two blood vessels in the liver. At South Florida Vascular Associates, we can use the TIPS procedure to establish a shunt that will open the portal vein, divert the high-pressure flow to a low-pressure area, and resolve portal hypertension with bleeding or ascites.
Who is a Candidate for TIPS?
Patients who can benefit from the TIPS procedure have cirrhosis, where the portal vein that transports blood from the intestine to the liver becomes abnormally high in pressure (portal hypertension). This can lead to varicose veins and bleeding problems in the abdomen. Cirrhosis with portal hypertension can also lead to fluid build-up in the abdomen (ascites).
The TIPS Procedure
In the past, this procedure was done with open surgery and was called a portosystemic shunt. Success rates with this procedure were poor, as it was fatal about half the time. Now, our doctors can perform a much safer minimally invasive procedure for optimal outcomes.
The TIPS procedure is performed on an outpatient basis by an interventional radiologist. During this procedure, you will lay on your back, and the doctor will numb the area where the jugular vein is. Under X-ray guidance, the doctor threads small catheters from the jugular vein into the liver. He puts a needle in the liver to make a connection between the low-pressure hepatic vein, which drains into the heart, and the high-pressure portal vein, which drains into the liver.
Once that connection is established, the doctor uses angioplasty to place a stent (a tubular metal scaffolding) inside the liver to keep the portal vein open, which allows the blood to shunt right through the liver into the hepatic vein. This reduces pressure in the portal vein and stops the bleeding. Fluid build-up on the abdomen usually goes away or is reduced.
While TIPS can effectively treat the symptoms of cirrhosis – bleeding and fluid build-up – it is important to note that it does not do anything to improve liver function.
TIPS Aftercare
Following your TIPs procedure, you will be able to return home. Most people can return to all normal activities within 7-10 days. Your doctor may recommend an ultrasound following the procedure to ensure that the shunt is working correctly.
Providers
Schedule a Consultation
To learn more about TIPS, contact our offices conveniently serving the greater Southeast Florida region. We’re located in Coconut Creek, Boynton Beach, and Plantation, FL, and provide advanced vascular and interventional oncology treatments performed on an outpatient basis.