About: Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS)

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About: Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Goto Sponge NotDistinct Permalink

An Entity of Type : http://linked.opendata.cz/ontology/domain/vavai/Vysledek, within Data Space : linked.opendata.cz associated with source document(s)

Attributes	Values
rdf:type	skos:Concept http://linked.opendata.cz/ontology/domain/vavai/Vysledek
rdfs:seeAlso	http://link.springer.com/content/pdf/10.1007%2Fs00270-012-0493-y
Description	Transjugular intrahepatic portosystemic shunt (TIPS) is the percutaneous method of creating a portosystemic shunt to decrease or treat portal hypertension. TIPS is a side-to-side shunt of a determined diameter designed to functioon as a partial shut that preserves a portion of portal flow to the live. Flow through the completed shunt is assessed by comparing the degree of preferential filing of the shunt to the that of the portal vein branches and portosystemic collaterals (mainly in the gastric vens). The identificatoion of hepatogufal (reversed) blood flow in portal vein branches (total shunting) is a sign of good flow through the shunt. Generally, patients, with a Child-Pugh score of > 12 are in high risk of portprocedural death. A thorough selection of patients is the key to successful treatment with TIPS. Scoring of patients by the model of end-stage liver disease (MELD) has been validated to predict early mortality after TIPS. Patients with MELD scores of > 15-18 or a bilirubin level of > 60umol/L (3,5 mg/dl) should be informed of their poor prognosis, and TIPS should only be performed in the absence of any other treatment possibilities. Transjugular intrahepatic portosystemic shunt (TIPS) is the percutaneous method of creating a portosystemic shunt to decrease or treat portal hypertension. TIPS is a side-to-side shunt of a determined diameter designed to functioon as a partial shut that preserves a portion of portal flow to the live. Flow through the completed shunt is assessed by comparing the degree of preferential filing of the shunt to the that of the portal vein branches and portosystemic collaterals (mainly in the gastric vens). The identificatoion of hepatogufal (reversed) blood flow in portal vein branches (total shunting) is a sign of good flow through the shunt. Generally, patients, with a Child-Pugh score of > 12 are in high risk of portprocedural death. A thorough selection of patients is the key to successful treatment with TIPS. Scoring of patients by the model of end-stage liver disease (MELD) has been validated to predict early mortality after TIPS. Patients with MELD scores of > 15-18 or a bilirubin level of > 60umol/L (3,5 mg/dl) should be informed of their poor prognosis, and TIPS should only be performed in the absence of any other treatment possibilities. (en)
Title	Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS) (en)
skos:prefLabel	Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS) Quality Improvement Guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS) (en)
skos:notation	RIV/00179906:_____/12:10124320!RIV13-MZ0-00179906
http://linked.open...avai/riv/aktivita	I
http://linked.open...avai/riv/aktivity	I
http://linked.open...iv/cisloPeriodika	6
http://linked.open...vai/riv/dodaniDat	2013
http://linked.open...aciTvurceVysledku	Fejfar, Tomáš Hůlek, Petr Krajina, Antonín
http://linked.open.../riv/druhVysledku	J - Článek v odborném periodiku
http://linked.open...iv/duvernostUdaju	S - Úplné a pravdivé údaje nepodléhající ochraně podle zvláštních právních předpisů
http://linked.open...titaPredkladatele	Fakultní nemocnice Hradec Králové
http://linked.open...dnocenehoVysledku	163747
http://linked.open...ai/riv/idVysledku	RIV/00179906:_____/12:10124320
http://linked.open...riv/jazykVysledku	eng - angličtina
http://linked.open.../riv/klicovaSlova	TIPS; portal hypertension (en)
http://linked.open.../riv/klicoveSlovo	TIPS portal hypertension
http://linked.open...odStatuVydavatele	US - Spojené státy americké
http://linked.open...ontrolniKodProRIV	[DF55470ABB4D]
http://linked.open...i/riv/nazevZdroje	Cardiovascular and Interventional Radiology
http://linked.open...in/vavai/riv/obor	FE
http://linked.open...ichTvurcuVysledku	3 (xsd:int)
http://linked.open...cetTvurcuVysledku	4 (xsd:int)
http://linked.open...UplatneniVysledku	2012
http://linked.open...v/svazekPeriodika	35
http://linked.open...iv/tvurceVysledku	Krajina, Antonín Válek, Vlastimil Fejfar, Tomáš Hůlek, Petr
http://linked.open...ain/vavai/riv/wos	000311201300003
issn	0174-1551
number of pages	6 (xsd:int)
http://bibframe.org/vocab/doi	10.1007/s00270-012-0493-y

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