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Educational video series on TIPS: from early intervention to complex cases

Transjugular Intrahepatic Portosystemic Shunt

To make it easier for you to take a deep dive into the data and approaches to transjugular intrahepatic portosystemic shunt (TIPS) procedures, we’ve assembled a library of our educational videos on the topic. First, three blogs with webinar recordings focus on the benefits of early intervention for patients suffering from portal hypertension. Next, three specialists present six complex cases and describe their treatment techniques. Each of these six videos is offered with transcripts and chapters so that you can focus on the sections that interest you the most. Then you can explore the products we offer to support your TIPS cases or reach out to your local Cook representative to learn more.

 

TIPS intervention: the earlier the better?

Leading specialists in interventional radiology and hepatology share their experiences and knowledge on the benefits of early TIPS procedures for patients suffering from portal hypertension. This minimally invasive procedure is used to create a channel within the liver to connect the portal vein to the hepatic vein, reducing portal hypertension. They suggest that treating patients earlier helps alleviate the complications of advanced chronic liver disease and portal hypertension, including variceal bleeding and refractory ascites.

Evidence and literature

The specialists focus this webinar on summarising the evidence and literature addressing preemptive TIPS for acute variceal bleeding; mortality due to bleeding in the first three days; and the benefits of early intervention in patients with refractory ascites, nutritional deficits, and sarcopenia.

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Patient selection, referral pathway, and TIPS techniques

In this blog and webinar recording, Dr Virginia Hernández-Gea discusses the two main treatment options—rescue TIPS and pre emptive TIPS. She also explains clinical criteria such as Child-Pugh scores to stratify patients.

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Implementation, facility protocols, IR success requirements

In this webinar recording and summary, experts explain that while larger hospitals are aware of the benefits of early TIPS placement, awareness and accessibility might be lacking in smaller hospitals around the world.

Learn more

 

TIPS intervention: complex cases

Dr Homoyoon Mehrzad, Prof. Bernhard Gebauer, and Dr Virginia Hernández-Gea share their experiences on some of their most complex TIPS procedures. Topics include a 19-year retrospective study of parallel TIPS; recurring Budd-Chiari Syndrome in distorted anatomy; mechanical thrombectomy and balloon angioplasty; the gun-sight approach to create a direct intrahepatic portosystemic shunt; placing a parallel TIPS stent alongside a shorter balloon-expandable stent within the existing TIPS tract; and ultrasound-guided splenic puncture, angioplasty, and strategic stent placement to establish portal vein connectivity via a transjugular approach.

Parallel TIPS technique to manage bleeding

Dr Homoyoon Mehrzad recaps findings from a 19-year retrospective study by the University of Birmingham on the use of parallel TIPS.

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Overlapping TIPS stents in Budd-Chiari with distorted anatomy: case one

Dr Mehrzad presents a complex case of Budd-Chiari Syndrome recurrence in a 42-year-old female patient.

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Overlapping TIPS stents in Budd-Chiari with distorted anatomy: case two

Dr Mehrzad discusses a challenging case involving a 28-year-old patient with a rare form of Budd-Chiari Syndrome.

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DIPS with gun-sight technique in BCS

Prof. Bernhard Gebauer reviews a complex case involving a 23-year-old female with hepatomegaly, persistent abdominal pain, Factor V Leiden mutation, focal bleeding, and refractory ascites.

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TIPS recalibration in refractory encephalopathy

Dr Virginia Hernández-Gea explains her treatment of a 70-year-old patient with alcohol-induced cirrhosis and refractory hepatic encephalopathy.

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TIPS in portal vein thrombosis and refractory ascites

Dr Hernández-Gea discusses her management of a 53-year-old male with non-alcoholic steatohepatitis and alcohol-induced cirrhosis, complicated by refractory ascites and extensive portal vein thrombosis.

Watch now

 

Explore Cook’s products for TIPS procedures

Ring Transjugular Intrahepatic Access Set

Rösch-Uchida Transjugular Liver Access Set

Liver Access and Biopsy Set

Renal Access and Biopsy Set
 

Interested in speaking with a

Cook Medical representative?

Please click the button below and submit the required information to connect with your local Cook representative. This form is intended for EU-based physicians only.

Contact A Representative

Drs Mehrzad, Gebauer, and Hernández-Gea were paid consultants of Cook Medical at the time of recording.

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