A multidisciplinary team of specialists from Heart and Brain applies a new method in patients with liver disease

A team of cardiologists, gastroenterologists, and interventional radiologists performed a complex medical procedure to place a transjugular intrahepatic portosystemic shunt (TIPS). The procedure involves creating a new artificial pathway in the liver that connects one of its main veins (the portal vein) to one of the hepatic veins and is used in patients with liver disease.

What does the procedure involve?

In healthy people, blood from the digestive system flows through the portal vein to the liver to be processed. When the liver is severely damaged, for example by cirrhosis, this blood flow can be impeded. This leads to high blood pressure in the portal vein, a condition known as “portal hypertension.” As a result, the blood seeks alternative routes, which can cause enlarged veins (varices) in the esophagus and stomach, which can easily rupture and lead to life-threatening bleeding.

In this method, a small metal tube called a stent is placed through a vein in the neck that reaches the liver and creates a new path for blood flow. This new path bypasses the damaged liver tissue and reduces the pressure in the portal vein.

Why is it important?

TIPS is vital because it can stop or prevent life-threatening bleeding from varices. It also reduces the build-up of fluid in the abdomen (ascites), which is often very painful and difficult to treat. For many patients who cannot undergo liver transplantation, TIPS is the only option for improving quality of life and prolonging life.

The procedure is extremely complex because it is performed under X-ray guidance and requires great precision. Doctors must maneuver through a maze of veins to reach the exact location in the liver without damaging other structures. It is a minimally invasive procedure, but it requires specialized skills and experience.

“Despite the risks involved, as with any complex medical intervention, TIPS is considered one of the most effective treatments for patients with portal hypertension. These highly specialized medical procedures are performed only at “Heart and Brain” and one of the capital’s hospitals,” the specialists said.

The full news article can be found here.