{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T12:51:24Z","timestamp":1782391884615,"version":"3.54.5"},"reference-count":50,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Transjugular intrahepatic portosystemic shunt (TIPS) creation is effective in treating the sequelae of decompensated liver cirrhosis\u2014including medically refractory ascites and variceal bleeding\u2014by decompressing the portal venous system through a manmade portosystemic conduit within the liver. However, the altered physiology in which splenomesenteric blood bypasses intrahepatic portal venous perfusion can precipitate varying degrees of hepatic encephalopathy (HE). While the majority of post-TIPS HE cases can be treated medically, some require escalated management strategies, including endovascular interventions to modify the indwelling TIPS and\/or occlude competitive physiologic spontaneous portosystemic shunts. This review article details the epidemiology, risk factors, diagnosis, classification, and treatment of post-TIPS HE.<\/jats:p>","DOI":"10.1055\/s-0043-1764282","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T22:35:16Z","timestamp":1683239716000},"page":"009-014","source":"Crossref","is-referenced-by-count":9,"title":["Hepatic Encephalopathy after Transjugular Intrahepatic Portosystemic Shunt Creation"],"prefix":"10.1055","volume":"40","author":[{"given":"Surbhi","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Illinois at Chicago College of Medicine, Chicago, Illinois"},{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Lam","sequence":"additional","affiliation":[{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Ganesh","sequence":"additional","affiliation":[{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasir","family":"Hasnain","sequence":"additional","affiliation":[{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wassim","family":"Hassan","sequence":"additional","affiliation":[{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josi","family":"Herren","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Illinois at Chicago College of Medicine, Chicago, Illinois"},{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron C.","family":"Gaba","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Illinois at Chicago College of Medicine, Chicago, Illinois"},{"name":"University of Illinois at Chicago College of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1002\/hep.23383","article-title":"The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension: update 2009","volume":"51","author":"T D Boyer","year":"2010","journal-title":"Hepatology"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"2487","DOI":"10.1111\/liv.12956","article-title":"Current diagnosis and management of post-transjugular intrahepatic portosystemic shunt refractory 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