{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:11:01Z","timestamp":1772118661373,"version":"3.50.1"},"reference-count":26,"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 treats complications of portal hypertension in appropriately selected patients by lowering the portal venous pressure. While this can be a lifesaving intervention, portal venous flow diversion is not without potential consequences. Overshunting can lead to hepatic decompensation and encephalopathy. TIPS reduction and TIPS occlusion are therapeutic options used to mitigate overshunting, with reduction being the initial alternative due to retained shunt patency and lower potential for venous thrombosis. Patient selection, techniques for TIPS reduction, and patient outcomes are reviewed in this article.<\/jats:p>","DOI":"10.1055\/s-0043-1764286","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T22:35:16Z","timestamp":1683239716000},"page":"027-032","source":"Crossref","is-referenced-by-count":5,"title":["Transjugular Intrahepatic Portosystemic Shunt Reduction Techniques"],"prefix":"10.1055","volume":"40","author":[{"given":"Mason A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebouh","family":"Gueyikian","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, NorthShore University HealthSystem, Evanston, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Huffman","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Donahue","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Aurora St. Luke's Medical Center, Milwaukee, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1055\/s-0034-1382790","article-title":"Transjugular intrahepatic portosystemic shunt: indications, contraindications, and patient work-up","volume":"31","author":"A Copelan","year":"2014","journal-title":"Semin Intervent Radiol"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1055\/s-0035-1549376","article-title":"Transjugular intrahepatic portosystemic shunt complications: prevention and management","volume":"32","author":"P V Suhocki","year":"2015","journal-title":"Semin Intervent Radiol"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1002\/hep.510230507","article-title":"Pulmonary hypertension after transjugular intrahepatic portosystemic shunt: effects on right ventricular function","volume":"23","author":"P Van der Linden","year":"1996","journal-title":"Hepatology"},{"issue":"11","key":"ref4","doi-asserted-by":"crossref","first-page":"3784","DOI":"10.3390\/jcm9113784","article-title":"Shunt-induced hepatic encephalopathy in TIPS: current approaches and clinical challenges","volume":"9","author":"P Schindler","year":"2020","journal-title":"J Clin Med"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/BF01072921","article-title":"Neomycin-sorbitol and lactulose in the treatment of acute portal-systemic encephalopathy. 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