{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T07:36:32Z","timestamp":1778052992317,"version":"3.51.4"},"reference-count":58,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":577,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>The insertion of a transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive procedure used to relieve the signs and symptoms of portal hypertension in patients with liver disease. The most common indications for placement are refractory ascites and variceal hemorrhage. In properly selected candidates, TIPS placement can serve as a bridge to liver transplantation. Expertise in TIPS placement after transplantation has significantly increased, which has allowed the procedure to become a viable option for retransplant candidates suffering the consequences of recurrent portal hypertension due to portal vein thrombosis, recurrent liver disease, or hepatic venous outflow obstruction (HVOO). However, TIPSs in liver transplant recipients are associated with a lower clinical response rate and a higher rate of complications in comparison with patients with native liver disease, and they are, therefore, generally reserved for patients with a Model for End-Stage Liver Disease (MELD) score \u2264 15 and \u2264 12 in patients with HCV. The role of TIPS placement in nonliver transplant recipients has been well studied in large trials, and it translates well into clinical applicability to candidates for orthotopic liver transplantation (OLT). However, the experience with OLT recipients is heterogeneous and restricted to small series. Thus, we focus here on reviewing the current literature and discussing the proper use of TIPSs in liver transplant recipients. <jats:italic toggle=\"yes\">Liver Transpl 20:130-139, 2014<\/jats:italic>. \u00a9 2013 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.23775","type":"journal-article","created":{"date-parts":[[2013,10,18]],"date-time":"2013-10-18T16:52:52Z","timestamp":1382115172000},"page":"130-139","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":28,"title":["Transjugular Intrahepatic Portosystemic Shunts in Liver Transplant Recipients"],"prefix":"10.1097","volume":"20","author":[{"given":"Alexander R.","family":"Bonnel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chalermrat","family":"Bunchorntavakul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajender K.","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-2-20250124","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1002\/hep.23383","article-title":"; for American Association for the Study of Liver Diseases. The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension: update 2009.","volume":"51","author":"Boyer","year":"2010","journal-title":"Hepatology"},{"key":"R2-2-20250124","doi-asserted-by":"crossref","first-page":"426428","DOI":"10.6002\/ect.2013.0013","article-title":"Transjugular intrahepatic portosystemic shunt for a wait list patient is not a contraindication for orthotopic liver transplant outcomes.","volume":"11","author":"Levi Sandri","year":"2013","journal-title":"Exp Clin Transplant"},{"key":"R3-2-20250124","doi-asserted-by":"crossref","first-page":"827832","DOI":"10.1097\/00042737-200208000-00003","article-title":"Transjugular intrahepatic portosystemic stentshunt and its effects on orthotopic liver transplantation.","volume":"14","author":"Tripathi","year":"2002","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"R4-2-20250124","first-page":"808815","article-title":"; for BuddChiari SyndromeTransjugular Intrahepatic Portosystemic Shunt Group. TIPS for BuddChiari syndrome: longterm results and prognostics factors in 124 patients.","volume":"135","author":"GarciaPagan","year":"2008","journal-title":"Gastroenterology"},{"key":"R5-2-20250124","first-page":"12481249","article-title":"Impact of transjugular intrahepatic portosystemic shunts on liver transplantation: a controlled analysis. NIDDK Liver Transplantation Database.","volume":"27","author":"Somberg","year":"1995","journal-title":"Transplant Proc"},{"key":"R6-2-20250124","doi-asserted-by":"crossref","first-page":"192200","DOI":"10.1111\/j.1600-6143.2008.02472.x","article-title":"Impact of TIPS preliver transplantation for the outcome posttransplantation.","volume":"9","author":"Guerrini","year":"2009","journal-title":"Am J Transplant"},{"key":"R7-2-20250124","doi-asserted-by":"crossref","first-page":"329333","DOI":"10.1055\/s-2005-925559","article-title":"Transjugular intrahepatic portosystemic shunts in liver transplant recipients: technical considerations and review of the literature.","volume":"22","author":"Patel","year":"2005","journal-title":"Semin Intervent Radiol"},{"key":"R8-2-20250124","doi-asserted-by":"crossref","first-page":"210218","DOI":"10.2214\/AJR.11.7653","article-title":"Transjugular intrahepatic portosystemic shunts in liver transplant recipients: technical analysis and clinical outcome.","volume":"200","author":"Saad","year":"2013","journal-title":"AJR Am J Roentgenol"},{"key":"R9-2-20250124","doi-asserted-by":"crossref","first-page":"218223","DOI":"10.1016\/j.jvir.2009.10.025","article-title":"Transjugular intrahepatic portosystemic shunts in liver transplant recipients for management of refractory ascites: clinical outcome.","volume":"21","author":"Saad","year":"2010","journal-title":"J Vasc Interv Radiol"},{"key":"R10-2-20250124","doi-asserted-by":"crossref","first-page":"786792","DOI":"10.1097\/TP.0b013e31820e014e","article-title":"MELD score less than 15 predicts prolonged survival after transjugular intrahepatic portosystemic shunt for refractory ascites after liver transplantation.","volume":"91","author":"Feyssa","year":"2011","journal-title":"Transplantation"},{"key":"R11-2-20250124","doi-asserted-by":"crossref","first-page":"240248","DOI":"10.1111\/j.1478-3231.2007.01645.x","article-title":"Transjugular intrahepatic portosystemic shunts in liver 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A randomized comparison of a sirolimuseluting stent with a standard stent for coronary revascularization.","volume":"346","author":"Morice","year":"2002","journal-title":"N Engl J Med"},{"key":"R33-2-20250124","doi-asserted-by":"crossref","first-page":"316328","DOI":"10.1161\/CIRCULATIONAHA.106.621342","article-title":"Drugeluting stent update 2007: part I. 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Results from the MOST, an international observational study.","volume":"41","author":"Burra","year":"2009","journal-title":"Dig Liver Dis"},{"key":"R37-2-20250124","doi-asserted-by":"crossref","first-page":"183187","DOI":"10.1007\/s11011-008-9119-0","article-title":"Liver transplantation and neurological side effects.","volume":"24","author":"Saner","year":"2009","journal-title":"Metab Brain Dis"},{"key":"R38-2-20250124","doi-asserted-by":"crossref","first-page":"140149","DOI":"10.1111\/j.1600-6143.2005.01161.x","article-title":"Refractory ascites after liver transplantation: an analysis of 1058 liver transplant patients at a single center.","volume":"6","author":"Nishida","year":"2006","journal-title":"Am J Transplant"},{"key":"R39-2-20250124","doi-asserted-by":"crossref","first-page":"474481","DOI":"10.1111\/j.1440-1746.2005.03601.x","article-title":"Differences in longterm survival after transjugular intrahepatic portosystemic shunt for refractory ascites and variceal 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