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Consensus conference on TIPS management: Techniques, indications, contraindications
- Publication Year :
- 2017
-
Abstract
- The trans jugular intrahepatic Porto systemic shunt (TIPS) is no longer viewed as a salvage therapy or a bridge to liver transplantation and is currently indicated for a number of conditions related to portal hypertension with positive results in survival. Moreover, the availability of self-expandable polytetrafluoroethylene (PTFE)-covered endoprostheses has dramatically improved the long-term patency of TIPS. However, since the last updated International guidelines have been published (year 2009) new evidence have come, which have open the field to new indications and solved areas of uncertainty. On this basis, the Italian Association of the Study of the Liver (AISF), the Italian College of Interventional RadiologyâItalian Society of Medical Radiology (ICIR-SIRM), and the Italian Society of Anesthesia, Analgesia and Intensive Care (SIAARTI) promoted a Consensus Conference on TIPS. Under the auspices of the three scientific societies, the consensus process started with the review of the literature by a scientific board of experts and ended with a formal consensus meeting in Bergamo on June 4th and 5th, 2015. The final statements presented here were graded according to quality of evidence and strength of recommendations and were approved by an independent jury. By highlighting strengths and weaknesses of current indications to TIPS, the recommendations of AISF-ICIR-SIRM-SIAARTI may represent the starting point for further studies.
- Subjects :
- Liver Cirrhosis
medicine.medical_specialty
GI bleeding
media_common.quotation_subject
Esophageal and Gastric Varices
03 medical and health sciences
0302 clinical medicine
Jury
Intensive care
Hypertension, Portal
Ascites
Cirrhosis
Liver transplantation
Portal hypertension
TIPS
Hepatology
Gastroenterology
medicine
Humans
Polytetrafluoroethylene
Societies, Medical
media_common
Cirrhosi
business.industry
General surgery
Consensus conference
Drug-Eluting Stents
Surgery
Liver Transplantation
Quality of evidence
Italy
030220 oncology & carcinogenesis
Ascite
030211 gastroenterology & hepatology
Portasystemic Shunt, Transjugular Intrahepatic
business
Gastrointestinal Hemorrhage
Strengths and weaknesses
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....be37e3b8c38d8e253b8e0a4e610a816b