{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T04:04:43Z","timestamp":1778904283469,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Transjugular intrahepatic portosystemic shunt (TIPS) implantation is used for treatment of several complications in patients with liver cirrhosis. Recent studies have identified a survival benefit for patients on the waiting list after TIPS implantation, but the optimal time point for TIPS implantation prior to orthotopic liver transplantation (OLT) has not been established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study<\/jats:title><jats:p>This study retrospectively assessed patients undergoing TIPS implantation before or after listing for OLT at the Medical University of Vienna. <jats:italic>n<\/jats:italic> \u2009=\u200998 patients with TIPS on the waiting list between January 1993 and December 2013 were identified (<jats:italic>n<\/jats:italic> \u2009=\u200973 (74.5%) pre\u2010listing TIPS, <jats:italic>n<\/jats:italic> \u2009=\u200925 (25.5%) post\u2010listing TIPS). A matched control group at the time of OLT without TIPS (<jats:italic>n<\/jats:italic> \u2009=\u200960) was included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>More patients with post\u2010listing TIPS (28.0%, 7\/25) showed clinical improvement and went off\u2010list than patients with pre\u2010listing TIPS (8.2%, 6\/73, <jats:italic>p<\/jats:italic> \u2009=\u2009.0119). A similar proportion of patients with pre\u2010listing TIPS (19.2%, 14\/73) and post\u2010listing TIPS (20.0%, 5\/25) died on the OLT waiting list. Transplant surgery time was similar in patients with and without TIPS: 348(\u00b113) vs. 337(\u00b110) minutes (<jats:italic>p<\/jats:italic> \u2009=\u2009.5139). Estimated 1\u2010year post\u2010transplant survival was similar across all groups (pre\u2010listing TIPS: 76.2%, post\u2010listing TIPS: 86.0%, no TIPS: 91.2%, log\u2010rank <jats:italic>p<\/jats:italic> \u2009=\u2009.1506).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TIPS should be considered in all liver transplant candidates, since it can obviate the need for OLT and optimize bridging to OLT.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2050640617704807","type":"journal-article","created":{"date-parts":[[2017,4,7]],"date-time":"2017-04-07T14:05:16Z","timestamp":1491573916000},"page":"1100-1107","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["The role of TIPS in the management of liver transplant candidates"],"prefix":"10.1002","volume":"5","author":[{"given":"Lukas W","family":"Unger","sequence":"first","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Stork","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Bucsics","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine III Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Rasoul\u2010Rockenschaub","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Staufer","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Trauner","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine III Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svenja","family":"Maschke","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Pawloff","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Soliman","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Medical University of Vienna Vienna 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