Transjugular Intrahepatic Portosystemic Shunt versus Endoscopic Variceal Ligation, an Unequal Competition

HomeRadiologyVol. 308, No. 2 PreviousNext Reviews and CommentaryEditorialTransjugular Intrahepatic Portosystemic Shunt versus Endoscopic Variceal Ligation, an Unequal CompetitionKlemens H. Barth Klemens H. Barth Author AffiliationsFrom the Department of Radiology, MedStar Georgetown University Hospital, Washington, DC.Address correspondence to the author (email:[email protected]).Klemens H. Barth Published Online:Aug 22 2023https://doi.org/10.1148/radiol.231774MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In References1. Triantafyllou T, Aggarwal P, Gupta E, Svetanoff WJ, Bhirud DP, Singhal S. Polytetrafluoroethylene-Covered Stent Graft Versus Bare Stent in Transjugular Intrahepatic Portosystemic Shunt: Systematic Review and Meta-Analysis. J Laparoendosc Adv Surg Tech A 2018;28(7):867–879. Crossref, Medline, Google Scholar2. Rajesh S, George T, Philips CA, et al. Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update. World J Gastroenterol 2020;26(37):5561–5596. Crossref, Medline, Google Scholar3. Wang X, Liu G, Wu J, et al. Small-diameter transjugular intrahepatic portosystemic shunt versus endoscopic variceal ligation plus propranolol for variceal rebleeding in advanced cirrhosis. Radiology 2023;308(2):e223201. Link, Google Scholar4. Holster IL, Tjwa ET, Moelker A, et al. Covered transjugular intrahepatic portosystemic shunt versus endoscopic therapy + β-blocker for prevention of variceal rebleeding. Hepatology 2016;63(2):581–589. Crossref, Medline, Google Scholar5. Dariushnia SR, Haskal ZJ, Midia M, et al; Society of Interventional Radiology Standards of Practice Committee. Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunts. J Vasc Interv Radiol 2016;27(1):1–7. Crossref, Medline, Google Scholar6. Boike JR, Thornburg BG, Asrani SK, et al; Advancing Liver Therapeutic Approaches (ALTA) Consortium. North American Practice-Based Recommendations for Transjugular Intrahepatic Portosystemic Shunts in Portal Hypertension. Clin Gastroenterol Hepatol 2022;20(8):1636–1662.e36. Crossref, Medline, Google Scholar7. Zhou GP, Jiang YZ, Sun LY, Zhu ZJ. Early transjugular intrahepatic portosystemic shunt for acute variceal bleeding: a systematic review and meta-analysis. Eur Radiol 2021;31(7):5390–5399. Crossref, Medline, Google Scholar8. Rosemurgy AS, Zervos EE, Bloomston M, Durkin AJ, Clark WC, Goff S. Post-shunt resource consumption favors small-diameter prosthetic H-graft portacaval shunt over TIPS for patients with poor hepatic reserve. Ann Surg 2003;237(6):820–825; discussion 825–827. Crossref, Medline, Google Scholar9. Brand M, Prodehi L, Ede CJ. Surgical portosystemic shunts versus transjugular intrahepatic portosystemic shunt for variceal haemorrhage in people with cirrhosis Cochrane Database Syst Rev. 2018 Oct 31;10(10):CD001023. Medline, Google Scholar10. Ly Y, Chen H, Luo B, et al. Transjugular intrahepatic portosystemic shunt with or without gastro-oesophageal variceal embolization for the prevention of variceal rebleeding: a randomised controlled trial. Lancet Gastroenterol Hepatol 2022;7(8):736–746. [Published correction appears in Lancet Gastroenterol Hepatol 2022;7(8):704.] Crossref, Medline, Google ScholarArticle HistoryReceived: July 10 2023Revision requested: July 19 2023Revision received: July 24 2023Accepted: July 25 2023Published online: Aug 22 2023 FiguresReferencesRelatedDetailsRecommended Articles Small-Diameter Transjugular Intrahepatic Portosystemic Shunt versus Endoscopic Variceal Ligation Plus Propranolol for Variceal Rebleeding in Advanced CirrhosisRadiology2023Volume: 308Issue: 2Portal Venous Interventions: State of the ArtRadiology2016Volume: 278Issue: 2pp. 333-353Portal Interventions in the Setting of Venous Thrombosis or OcclusionRadioGraphics2022Volume: 42Issue: 6pp. 1690-1704Transjugular Intrahepatic Portosystemic Shunts in Patients with Cirrhosis with Refractory Ascites: Comparison of Clinical Outcomes by Using 8- and 10-mm PTFE-covered StentsRadiology2017Volume: 284Issue: 1pp. 281-288Virtual Hepatic Venous Pressure Gradient with CT Angiography (CHESS 1601): A Prospective Multicenter Study for the Noninvasive Diagnosis of Portal HypertensionRadiology2018Volume: 290Issue: 2pp. 370-377See More RSNA Education Exhibits Not Your Ordinary Tips: Portal Interventions in the Settings of Venous Thrombosis or OcclusionDigital Posters2020Portal Hypertension: A Comprehensive Clinico-Radiological Review.Digital Posters2022An Imaging Review Of Portal Hypertension Complications, Ectopic Varices And Their Various TreatmentsDigital Posters2021 RSNA Case Collection Transhepatic Portosystemic Shunt (TIPS) for Variceal BleedingRSNA Case Collection2020Portopulmonary Venous Anastomosis in CirrhosisRSNA Case Collection2020Gastric Antral Vascular EctasiaRSNA Case Collection2021 Vol. 308, No. 2 Metrics Altmetric Score PDF download