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Abstract Details
Hepatic Encephalopathy After TIPS Placement: Predictive Factors, Prevention Strategies, and Management
Cardiovasc Intervent Radiol. 2022 May;45(5):570-577.doi: 10.1007/s00270-021-03045-3. Epub 2022 Jan 3.
1Department of Radiology, Hospital of The University of Pennsylvania, Philadelphia, PA, USA.
2Section of Interventional Radiology, Imaging Institute, Cleveland Clinic Main Campus, Cleveland, OH, USA. partovs@ccf.org.
3Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.
4Section of Interventional Radiology, Imaging Institute, Cleveland Clinic Main Campus, Cleveland, OH, USA.
Abstract
Hepatic encephalopathy (HE) is a challenging complication after transjugular intrahepatic portosystemic shunt (TIPS) placement. Despite recent advances, much is still uncertain regarding risk factors, preventative measures, and the management of HE after TIPS placement. Appropriate patient selection and pre-procedural risk stratification remain areas of focus. In this manuscript, we discuss the current state of research related to HE after TIPS placement, including information regarding risk stratification, complication prevention, and treatment options.