TIPS Procedure for severe portal hypertension

Sathya Narayanan R

Consultant – Diagnostic and Interventional Radiology, Kauvery Hospital, Alwarpet, Chennai, Tamil Nadu

Case presentation

A female patient has refractory ascites, for which she requires daily tapping.

Management

A Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure with Colapinto needle

Pressure gradient between RA and portal vein was 17 mm hg before the procedure

After creating the shunt between hepatic vein and portal vein, it came down to 4 mm hg

Kauvery Hospital