Tipss

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

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.

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

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.

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