What is a TIPSS?

A TIPSS, or Transjugular Intrahepatic PortoSystemic Shunt, is an artificial channel created with a prosthesis between the portal vein and the suprahepatic vein.

What is the purpose of a TIPSS?

A TIPSS is placed in case of refractory ascites, hematemesis on esophageal, gastric, and small bowel varices, which recur despite sclerosis, in patients waiting for a liver transplant.

Type of care

The placement of a TIPSS requires a 3-day hospitalization.

How to prepare for it?

The patient comes in the day before the TIPSS is placed for a blood sample to be drawn, digestive decontamination, and a meeting with an anesthesiologist. On the day of the procedure, the patient remains in bed and will be fasting until the next day.


The placement of a TIPSS is done under sedation.

The doctor passes a catheter through the right internal jugular vein, superior vena cava, right atrium, and inferior vena cava to arrive in the suprahepatic vein. Once in the liver, the doctor locates the portal vein. He then digs a channel between the suprahepatic vein and portal vein and places a rosthesis.

What happens after the treatment?

After the TIPSS is put in place, the patient will be sleepy for a few days.


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