{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T11:20:05Z","timestamp":1774264805523,"version":"3.50.1"},"reference-count":92,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2001,1]]},"abstract":"<jats:p>Diversas alternativas terap\u00eauticas t\u00eam sido usadas, atualmente, na tentativa de reduzir a mortalidade de pacientes com hipertens\u00e3o portal que desenvolvem varizes esofagianas. Abordagem de uma dessas alternativas que ainda \u00e9 de exce\u00e7\u00e3o e pouco utilizada em nosso meio - o \"shunt\" (desvio) portossist\u00eamico intra-hep\u00e1tico transjugular - TIPS (\"transjugular intrahepatic portasystemic shunt\"). O TIPS possibilita redu\u00e7\u00e3o significativa do gradiente de press\u00e3o portohep\u00e1tico, uma vez que funciona como um \"shunt\" portocava l\u00e1tero-lateral, promovendo, dessa forma, descompress\u00e3o eficiente do sistema portal, reduzindo significativamente o risco de sangramentos. A t\u00e9cnica consiste na inser\u00e7\u00e3o percut\u00e2nea, atrav\u00e9s da veia jugular interna, de malha met\u00e1lica atrav\u00e9s do par\u00eanquima hep\u00e1tico, sob controle angiogr\u00e1fico, criando verdadeira comunica\u00e7\u00e3o portocava. Bons resultados na utiliza\u00e7\u00e3o do TIPS t\u00eam sido atestados em diversos estudos, muito embora bem poucos deles tenham sido controlados e randomizados de modo a concluir que esse procedimento \u00e9 seguro, eficaz e com boa rela\u00e7\u00e3o custo-benef\u00edcio. Dessa forma, buscou-se, nesta revis\u00e3o, uma an\u00e1lise do estado atual da utiliza\u00e7\u00e3o do TIPS, sua t\u00e9cnica, principais indica\u00e7\u00f5es e complica\u00e7\u00f5es. O TIPS vem sendo utilizado nos casos de hemorragia digestiva refrat\u00e1ria ao tratamento farmacol\u00f3gico e\/ou endosc\u00f3pico, principalmente em pacientes Child-Pugh B e C ou ainda como op\u00e7\u00e3o de controle do quadro, servindo como \"ponte\" para um futuro transplante hep\u00e1tico. Pode-se considerar ainda o tratamento da ascite refrat\u00e1ria, da s\u00edndrome hepatorrenal e do hidrot\u00f3rax hep\u00e1tico como promissoras indica\u00e7\u00f5es definitivas para a coloca\u00e7\u00e3o do TIPS. As complica\u00e7\u00f5es dessa t\u00e9cnica est\u00e3o relacionadas, sobretudo, a sua coloca\u00e7\u00e3o, \u00e0s conseq\u00fc\u00eancias hemodin\u00e2micas imediatas, como a encefalopatia hep\u00e1tica, e \u00e0s complica\u00e7\u00f5es tardias envolvendo principalmente a oclus\u00e3o do \"stent\" (pr\u00f3tese auto-expansiva).<\/jats:p>","DOI":"10.1590\/s0004-28032001000100013","type":"journal-article","created":{"date-parts":[[2005,5,12]],"date-time":"2005-05-12T20:19:26Z","timestamp":1115929166000},"page":"69-80","source":"Crossref","is-referenced-by-count":3,"title":["TIPS - anastomose portossist\u00eamica intra-hep\u00e1tica transjugular. Revis\u00e3o"],"prefix":"10.1590","volume":"38","author":[{"given":"Gerson","family":"CARREIRO","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 da Luz","family":"MOREIRA","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Francescutti","family":"MURAD","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feliciano","family":"AZEVEDO","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrique S\u00e9rgio Moraes","family":"COELHO","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1097\/00007890-199501270-00013","article-title":"A comparison of treatment with TIPS or distal splenorenal shunt in the management of variceal bleeding prior to liver transplantation","volume":"59","author":"Abouljoud MS","year":"1995","journal-title":"Transplantation","ISSN":"https:\/\/id.crossref.org\/issn\/0041-1337","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"2383","DOI":"10.1001\/archinte.1991.00400120029005","article-title":"Hepatic hydrothorax: cause and manangement","volume":"151","author":"Alberts WM","year":"1991","journal-title":"Arch Med Intern","ISSN":"https:\/\/id.crossref.org\/issn\/0250-3816","issn-type":"print"},{"key":"ref3","first-page":"134","article-title":"Improvement of thrombocytopenia due to hypersplenism after TIPS placement in cirrhotic patients","volume":"91","author":"Alvarez AO","year":"1996","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref4","first-page":"305","article-title":"TIPS for the manangement of hepatic hydrothorax in the abscence of ascites","volume":"22","author":"Andrade RJ","year":"1996","journal-title":"J Clin Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0192-0790","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1002\/hep.510230122","article-title":"Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis","volume":"23","author":"Arroyo V","year":"1996","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1097\/00000658-197402000-00019","article-title":"Portal systemic shunt in hepatic cirrhosis: does the type of shunt decisively influence the clinical result?","volume":"179","author":"Bismuth H","year":"1974","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1148\/radiology.197.3.7480760","article-title":"Budd-Chiari syndrome: technical, hemodynamic, and clinical results of treatment with TIPS","volume":"197","author":"Blum U","year":"1995","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"858","DOI":"10.7326\/0003-4819-126-11-199706010-00002","article-title":"Endoscopic sclerotherapy compared with percutaneous TIPS after initial sclerotherapy in patients with acute variceal hemorrhage","volume":"126","author":"Cello JP","year":"1997","journal-title":"Ann Intern Med","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4819","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/00000658-199803000-00017","article-title":"Liver transplantation complicated by misplaced TIPS in the portal vein","volume":"227","author":"Clavien PA","year":"1998","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref10","first-page":"267","article-title":"Creation of an intrahepatic portosystemic shunt with a Gruntzig balloon catheter","volume":"126","author":"Colapinto RF","year":"1982","journal-title":"Can Med Assoc J","ISSN":"https:\/\/id.crossref.org\/issn\/0008-4409","issn-type":"print"},{"key":"ref11","first-page":"148","article-title":"TIPS: the state of the art","volume":"17","author":"Conn HO","year":"1993","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1002\/hep.1840220145","article-title":"The treatment of portal hypertension: a meta-analytic review","volume":"22","author":"D'Amico G","year":"1995","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s002709900237","article-title":"Treatment of TIPS stenosis with ePTFE graft-covered stents","volume":"21","author":"DiSalle RS","year":"1998","journal-title":"Cardiovasc Intervent Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/0174-1551","issn-type":"print"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.2214\/ajr.164.5.7717217","article-title":"Detection of TIPS dysfunction: value of duplex Doppler sonography","volume":"164","author":"Dodd GD 3rd","year":"1995","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref15","first-page":"770A","article-title":"TIPS vs propranolol plus isosorbide 5-mononitrate for the prevention of variceal rebleeding in patients with cirrhosis","volume":"28","author":"Escorsell A","year":"1998","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S1089-3261(05)70257-9","article-title":"The role of transjugular portal-systemic shunt in the manangement of variceal bleeding","volume":"1","author":"Faust TW","year":"1997","journal-title":"Clin Liver Dis"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1148\/radiology.189.3.8234706","article-title":"Refractory ascites: early experience in the treatment with TIPS","volume":"189","author":"Ferral H","year":"1993","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref18","first-page":"1041","article-title":"Techniques for TIPS revision","volume":"171","author":"Ferral H","year":"1998","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2214\/ajr.165.1.7785564","article-title":"Duplex sonography after TIPS: normal hemodynamic findings and efficacy in predicting shunt patency and stenosis","volume":"165","author":"Foshager MC","year":"1995","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1001\/archsurg.1988.01400320073015","article-title":"Should portosystemic shunt be reconsidered in the treatment of intractable ascites in cirrhosis?","volume":"123","author":"Franco D","year":"1988","journal-title":"Arch Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0004-0010","issn-type":"print"},{"key":"ref21","first-page":"1087","article-title":"Results with percutaneous TIPS for control of variceal hemorrhage in patients awaiting liver transplantation","volume":"25","author":"Freedman AM","year":"1993","journal-title":"Transplant Proc","ISSN":"https:\/\/id.crossref.org\/issn\/0041-1345","issn-type":"print"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/00007890-199408000-00007","article-title":"Is the TIPS procedure beneficial for liver transplant recipients?","volume":"58","author":"Freeman RB Jr.","year":"1994","journal-title":"Transplantation","ISSN":"https:\/\/id.crossref.org\/issn\/0041-1337","issn-type":"print"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1002\/hep.510240321","article-title":"TIPS for the manangement of severe venoocclusive disease following bone marrow transplantation","volume":"24","author":"Fried MW","year":"1996","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref24","first-page":"603","article-title":"Transjugular intrahepatic portosystemic shunt (TIPS) for Budd-Chiari syndrome or portal vein thrombosis: review of indications and problems","volume":"94","author":"Ganger DR","year":"1999","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1002\/hep.510290125","article-title":"TIPS versus endoscopic sclerotherapy for the prevention of variceal rebleeding after recent variceal hemorrhage","volume":"29","author":"Garc\u00eda-Villarreal L","year":"1999","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1002\/hep.510280313","article-title":"Renal effects of TIPS in cirrhosis: comparison of patients with ascites, with refractory ascites, or without ascites","volume":"28","author":"Gerbes AL","year":"1998","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"2463","DOI":"10.1023\/A:1026686232756","article-title":"TIPS for variceal bleeding in portal hypertension. Comparison of emergency and elective interventions","volume":"43","author":"Gerbes AL","year":"1998","journal-title":"Dig Dis Sci","ISSN":"https:\/\/id.crossref.org\/issn\/0163-2116","issn-type":"print"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/0016-5085(93)90031-7","article-title":"Incidence, predictive factors, and prognosis of the hepatorenal syndrome in cirrhosis with ascites","volume":"105","author":"Gin\u00e8s A","year":"1993","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1002\/hep.510250611","article-title":"The successful treatment of syntomatic, refractory hepatic hydrothorax with TIPS","volume":"25","author":"Gordon FD","year":"1997","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref30","first-page":"1081","article-title":"Diagnosis and treatment of gastrointestinal bleeding secondary to portal hypertension. American College of Gastroenterology Practice Parameters Committee","volume":"92","author":"Grace ND","year":"1997","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S1089-3261(05)70255-5","article-title":"Pharmacologic therapy of portal hypertension and variceal hemorrhage","volume":"1","author":"Grace ND","year":"1997","journal-title":"Clin Liver Dis"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"A297","DOI":"10.1016\/0270-9139(95)94909-7","article-title":"TIPS vs. sclerotherapy + propranolol in the prevention of variceal rebleeding: Preliminary results of a multicenter randomised trial","volume":"22","year":"1995","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/00042737-199701000-00007","article-title":"Clinical outcome two years after implantation of TIPS for recurrent variceal bleeding","volume":"9","author":"Gschwantler M","year":"1997","journal-title":"Eur J Gastroenterol Hepatol","ISSN":"https:\/\/id.crossref.org\/issn\/0954-691X","issn-type":"print"},{"key":"ref34","first-page":"999","article-title":"Acute and chronic complications after implantation of a TIPS: a prospective study in 53 patients","volume":"35","author":"Gschwantler M","year":"1997","journal-title":"Z Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0044-2771","issn-type":"print"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1002\/hep.510280219","article-title":"TIPS in hepatorenal syndrome: effects on renal function and vasoactive systems","volume":"28","author":"Guevara M","year":"1998","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1148\/radiology.191.1.8134568","article-title":"Intestinal varices: treatment with TIPS","volume":"191","author":"Haskal ZJ","year":"1994","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S1051-0443(97)70607-9","article-title":"Sonography of TIPS: detection of elevated portosystemic gradients and loss of shunt function","volume":"8","author":"Haskal ZJ","year":"1997","journal-title":"J Vasc Interv Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/1051-0443","issn-type":"print"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1148\/radiology.194.1.7997547","article-title":"The reducing stent: treatment for TIPS induced refractory hepatic encephalopathy and liver failure","volume":"194","author":"Hauenstein KH","year":"1995","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref39","first-page":"1115","article-title":"A randomized trial comparing TIPS with variceal band ligation in the prevention of rebleeding from esophageal varices","volume":"26","author":"Jalan R","year":"1997","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1002\/lt.500040506","article-title":"TIPS and liver transplantation in patients with refractory hepatic hydrothorax","volume":"4","author":"Jeffries MA","year":"1998","journal-title":"Liver Transpl Surg","ISSN":"https:\/\/id.crossref.org\/issn\/1074-3022","issn-type":"print"},{"key":"ref41","first-page":"1104","article-title":"Recurrent bleeding from anorectal varices: successful treatment with a TIPS","volume":"88","author":"Katz JA","year":"1993","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/S1051-0443(95)71212-X","article-title":"Successful reversal of hepatic encephalopathy with intentional occlusion of TIPS","volume":"6","author":"Kerlan RK Jr.","year":"1995","journal-title":"J Vasc Interv Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/1051-0443","issn-type":"print"},{"key":"ref43","first-page":"1059","article-title":"TIPS: current status","volume":"164","author":"Kerlan RK","year":"1995","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/S0272-5231(21)00656-0","article-title":"Pulmonary aspects of liver disease and liver transplantation","author":"Krowka MJ","year":"1989","journal-title":"Clin Chest Med","ISSN":"https:\/\/id.crossref.org\/issn\/0272-5231","issn-type":"print"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/S1051-0443(93)71972-7","article-title":"Histopathologic study of stenotic and occluded TIPS","volume":"4","author":"LaBerge JM","year":"1993","journal-title":"J Vasc Interv Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/1051-0443","issn-type":"print"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1148\/radiology.187.2.8475283","article-title":"Creation of TIPS with the wallstent endoprosthesis: results in 100 patients","volume":"187","author":"LaBerge JM","year":"1993","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1016\/0016-5085(95)90213-9","article-title":"Two-year outcome following TIPS for variceal bleeding: results in 90 patients","volume":"108","author":"LaBerge JM","year":"1995","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"997","DOI":"10.2214\/ajr.164.4.7726065","article-title":"Short and long-term hemodynamic effects of TIPS: a Doppler\/manometric correlative study","volume":"164","author":"LaFortune M","year":"1995","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S0168-8278(96)80065-1","article-title":"TIPS: comparison with paracentesis in patients with cirrhosis and refractory ascites: a randomized trial","volume":"25","author":"Lebrec D","year":"1996","journal-title":"J Hepatol","ISSN":"https:\/\/id.crossref.org\/issn\/0168-8278","issn-type":"print"},{"key":"ref50","first-page":"443","article-title":"Successful treatment of severe hepatic veno-occlusive disease after allogenic bone marrow transplantation by TIPS","volume":"18","author":"L\u00e9vy V","year":"1996","journal-title":"Bone Marrow Transplant","ISSN":"https:\/\/id.crossref.org\/issn\/0268-3369","issn-type":"print"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1016\/0016-5085(94)90020-5","article-title":"Incidence of shunt occlusion or stenosis following TIPS placement","volume":"106","author":"Lind CD","year":"1994","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1007\/BF02570190","article-title":"Transjugular intrahepatic portosystemic shunt after previous recanalization of a chronically thrombosed portal vein via a transmesenteric approach","volume":"19","author":"Matsui O","year":"1996","journal-title":"Cardiovasc Intervent Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/0174-1551","issn-type":"print"},{"key":"ref53","first-page":"1606","article-title":"Beware of TIPS in liver transplant candidates","volume":"43","author":"Mazziotti A","year":"1996","journal-title":"Hepatogastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0172-6390","issn-type":"print"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1002\/hep.510270109","article-title":"TIPS vs. endoscopic sclerotherapy for the prevention of variceal bleeding in cirrhosis: a randomized multicenter trial Gruppo Italiano Studio TIPS (GIST)","volume":"27","author":"Merli M","year":"1998","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1002\/lt.500010406","article-title":"TIPS: impact on liver transplantation","volume":"1","author":"Millis JM","year":"1995","journal-title":"Liver Transpl Surg","ISSN":"https:\/\/id.crossref.org\/issn\/1074-3022","issn-type":"print"},{"key":"ref56","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S1051-0443(98)70269-6","article-title":"Long-term follow up after TIPS: use of Doppler velocity criteria for detecting elevation of the portosystemic gradient","volume":"9","author":"Murphy TP","year":"1998","journal-title":"J Vasc Interv Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/1051-0443","issn-type":"print"},{"key":"ref57","first-page":"1192","article-title":"The TIPS procedure for refractory ascites","volume":"332","author":"Ochs A","year":"1995","journal-title":"N Engl J Med","ISSN":"https:\/\/id.crossref.org\/issn\/0028-4793","issn-type":"print"},{"key":"ref58","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00004836-200001000-00005","article-title":"Transjugular intrahepatic portosystemic shunts (TIPS): a decade later","volume":"30","author":"Ong JP","year":"1999","journal-title":"J Clin Gastroenterol,"},{"key":"ref59","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1016\/S0016-5085(98)70317-8","article-title":"The innacuracy of duplex ultrasonography in predicting patency of TIPS","volume":"114","author":"Owens CA","year":"1998","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref60","doi-asserted-by":"crossref","first-page":"821","DOI":"10.2214\/ajr.145.4.821","article-title":"Expandable intrahepatic portocaval shunt stents: early experience in the dog","volume":"145","author":"Palmaz JC","year":"1985","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1002\/hep.510300316","article-title":"TIPS compared with endoscopic treatment for prevention of variceal rebleeding: a meta-analysis","volume":"30","author":"Papatheodoridis GV","year":"1999","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref62","series-title":"Treatment of liver diseases","first-page":"19","volume-title":"\"Salvage\" TIPS for uncontrolled variceal bleeding","author":"Patch D","year":"1999"},{"key":"ref63","first-page":"39","article-title":"TIPS and cardiac arrythmias","volume":"26","author":"Pidlich J","year":"1998","journal-title":"J Clin Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0192-0790","issn-type":"print"},{"key":"ref64","first-page":"A137","article-title":"TIPS vs. endoscopic variceal ligation in the prevention of variceal rebleeding in cirrhotic patients: a comparative randomised clinical trial (interim analysis)","volume":"26","author":"Pomier-Layrargues G","year":"1997","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref65","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1016\/0016-5085(95)90409-3","article-title":"TIPS improves oxygenation in hepatopulmonary syndrome","volume":"109","author":"Reigler JL","year":"1995","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref66","first-page":"406","article-title":"Der tranjugulare intrahepatische portosystemische stent-shunt (TIPSS)","volume":"29","author":"Richter GM","year":"1989","journal-title":"Radiologe","ISSN":"https:\/\/id.crossref.org\/issn\/0033-832X","issn-type":"print"},{"key":"ref67","doi-asserted-by":"crossref","first-page":"2121","DOI":"10.1007\/BF02208995","article-title":"Effects of TIPS on splanchnic and systemic hemodynamics, and hepatic function in patients with portal hypertension. Preliminary results","volume":"40","author":"Rodriguez Laiz JM","year":"1995","journal-title":"Dig Dis Sci","ISSN":"https:\/\/id.crossref.org\/issn\/0163-2116","issn-type":"print"},{"key":"ref68","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1148\/92.5.1112","article-title":"Transjugular portal venography and radiologic porta-caval shunt: an experimental study","volume":"92","author":"Rosch J","year":"1969","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref69","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1148\/radiology.162.2.3797662","article-title":"Experimental intrahepatic portocaval anastomosis: use of expandable Gianturco stents","volume":"162","author":"Rosch J","year":"1987","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref70","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1097\/00000658-199609000-00014","article-title":"A prospective trial of TIPS versus small diameter prostethic H-graft porta-caval shunt in the treatment of bleeding varices","volume":"224","author":"Rosemurgy AS","year":"1996","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref71","first-page":"165","article-title":"The TIPS procedure for variceal bleeding","volume":"330","author":"R\u00f6ssle M","year":"1994","journal-title":"N Engl J Med","ISSN":"https:\/\/id.crossref.org\/issn\/0028-4793","issn-type":"print"},{"key":"ref72","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/S0140-6736(96)08189-5","article-title":"Randomised trial of TIPSS vs. endoscopy plus propranolol for prevention of variceal rebleeding","volume":"49","author":"R\u00f6ssle M","year":"1997","journal-title":"Lancet","ISSN":"https:\/\/id.crossref.org\/issn\/0099-5355","issn-type":"print"},{"key":"ref73","first-page":"556","article-title":"TIPS: decreased survival for patients with high APACHE 2 scores","volume":"90","author":"Rubin RA","year":"1995","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref74","first-page":"46","article-title":"Portosystemic encephalopathy after TIPS: results of a prospective controlled study","volume":"20","author":"Sanyal AJ","year":"1994","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref75","first-page":"32","article-title":"The hematologic consequenses of TIPS","volume":"23","author":"Sanyal AJ","year":"1996","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref76","doi-asserted-by":"crossref","first-page":"849","DOI":"10.7326\/0003-4819-126-11-199706010-00001","article-title":"TIPS compared with endoscopic sclerotherapy for the prevention of recurrent variceal hemorrhage. A randomized, controled trial","volume":"126","author":"Sanyal AJ","year":"1997","journal-title":"Ann Intern Med","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4819","issn-type":"print"},{"key":"ref77","first-page":"A1374","article-title":"TIPSS vs.endoscopic banding in the prevention of variceal rebleeding: interim analysis of a randomised study","volume":"111","author":"Sauer P","year":"1997","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref78","doi-asserted-by":"crossref","first-page":"1623","DOI":"10.1053\/gast.1997.v113.pm9352865","article-title":"TIPS vs. sclerotherapy plus propranolol for variceal rebleeding","volume":"113","author":"Sauer P","year":"1997","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref79","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/S1051-0443(96)70751-0","article-title":"Hepatic laceration from wedged venography performed before TIPS placement","volume":"7","author":"Semba CP","year":"1996","journal-title":"J Vasc Interv Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/1051-0443","issn-type":"print"},{"key":"ref80","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1002\/hep.1840220536","article-title":"The role of TIPS for the treatment of portal hypertension and its complications: a conference sponsored by the National Digestive Diseases Advisory Board","volume":"22","author":"Shiffman ML","year":"1995","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1002\/hep.510290139","article-title":"Platelet aggregation and platelet-derived growth factor inhibition for prevention of insufficiency of the TIPS: a randomized study comparing trapidil plus ticlopidine with heparin treatment","volume":"29","author":"Siegerstetter V","year":"1999","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref82","first-page":"1248","article-title":"Impact of TIPS on liver transplantation: a controlled analysis","volume":"27","author":"Somberg KA","year":"1995","journal-title":"Transplant Proc","ISSN":"https:\/\/id.crossref.org\/issn\/0041-1345","issn-type":"print"},{"key":"ref83","first-page":"549","article-title":"Hepatic encephalopathy after TIPS: incidence and risk factors","volume":"90","author":"Somberg KA","year":"1995","journal-title":"Am J Gastroenterol","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9270","issn-type":"print"},{"key":"ref84","first-page":"230","article-title":"Stenosis of TIPS: presentation and manangement","volume":"168","author":"Sterling KM","year":"1997","journal-title":"AJR Am J Roentgenol","ISSN":"https:\/\/id.crossref.org\/issn\/0361-803X","issn-type":"print"},{"key":"ref85","first-page":"854","article-title":"Portal hypertension in schistosomiasis. Long term follow up of a randomized trial comparing three types of surgery","volume":"12","author":"Strauss E","year":"1990","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref86","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s002709900156","article-title":"Acute Budd-Chiari syndrome: treatment with transjugular intrahepatic portosystemic shunt","volume":"20","author":"Strunk HM","year":"1997","journal-title":"Cardiovasc Intervent Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/0174-1551","issn-type":"print"},{"key":"ref87","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1148\/radiology.205.1.9314982","article-title":"TIPS with silicone-covered wallstents: results in a swine model","volume":"205","author":"Tanihata H","year":"1997","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref88","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1002\/hep.1840200307","article-title":"Acetylsalicylic acid in the prevention of early stenosis and occlusion of TIPS: a controlled study","volume":"20","author":"Theilmann L","year":"1994","journal-title":"Hepatology","ISSN":"https:\/\/id.crossref.org\/issn\/0161-0538","issn-type":"print"},{"key":"ref89","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1148\/radiology.191.3.8184050","article-title":"Liver anatomy applied to the placement of transjugular intrahepatic portosystemic shunts","volume":"191","author":"Uflacker R","year":"1994","journal-title":"Radiology","ISSN":"https:\/\/id.crossref.org\/issn\/0033-8419","issn-type":"print"},{"key":"ref90","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/S1051-0443(95)71166-6","article-title":"Liver transplantation complicated by malpositioned TIPS","volume":"6","author":"Wilson MW","year":"1995","journal-title":"J Vasc Interv Radiol","ISSN":"https:\/\/id.crossref.org\/issn\/1051-0443","issn-type":"print"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1053\/gast.1997.v112.pm9041252","article-title":"The mechanism of the initial natriuresis after TIPS","volume":"112","author":"Wong F","year":"1997","journal-title":"Gastroenterology","ISSN":"https:\/\/id.crossref.org\/issn\/0016-5085","issn-type":"print"},{"key":"ref92","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/00000542-199601000-00029","article-title":"Mortality during TIPS placement","volume":"84","author":"Yonker-Sell AE","year":"1996","journal-title":"Anesthesiology","ISSN":"https:\/\/id.crossref.org\/issn\/0003-3022","issn-type":"print"}],"container-title":["Arquivos de Gastroenterologia"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ag\/v38n1\/6611.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T07:01:22Z","timestamp":1735714882000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0004-28032001000100013&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,1]]},"references-count":92,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2001,1]]}},"alternative-id":["S0004-28032001000100013"],"URL":"https:\/\/doi.org\/10.1590\/s0004-28032001000100013","relation":{},"ISSN":["0004-2803"],"issn-type":[{"value":"0004-2803","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,1]]}}}