transjugular intrahepatic portosystemic shunt, tips…

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tips, transjugular intrahepatic portosystemic shunt, tips, procedure to treat complications of severe liver disease, such complications include bleeding, esophagus, stomach, accumulation of fluid, in the abdomen, complications is high pressure in blood vessels, the liver, portal veins, procedure involves inserting a stent, tube, to connect the portal veins to adjacent blood vessels, lower pressure, relieves the pressure of blood flowing, the diseased liver, stop bleeding, fluid back up, procedure is typically performed by radiologists, receive a local anesthesia to numb a small area, the skin plus sedative, pain medications, in certain cases, general anesthesia used, patient goes to sleep, a needle is initially placed, in the jugular vein, in the right side, the neck to make a small hole, needles, thin tubes, catheters, advanced down, veins, in the liver, a needle is inserted to make a connection between an adjacent vein, a branch, the portal vein, channel is then expanded, a tube, a stent is inserted, blood to flow more, the liver, tube is left in place, this procedure, treat complications of severe liver disease, patient has not responded to less invasive treatments, salt restriction, in the diet, medications, diuretics to remove fluid, the procedure, a reaction, anesthesia, bleeding, abdomen, cardiac arrhythmia, irregular heart beat, severe liver disease, at risk, encephalopathy, deterioration of brain function, another common complication, tips has been inserted, require treatment, a patient who has had significant encephalopathy, not be a good candidate, tips, blockage, the tips occurs in most patients, the first year of placement, the tips, lead to recurrent bleeding, reaccumulation of fluid, occurs, tips, expanded, a new tips created, death has been reported after tips placement, risk is associated, the complications, the procedure, deaths have been reported, due to worsening liver failure that occurs, in the days, weeks after tips placement, patients, more advanced liver disease, at greater risk, worsening liver failure after tips placement, patient is typically monitored, wakes up, anesthesia, an ultrasound is commonly performed the morning, procedure to document that the tips is open, functioning well, main goal, recovery period, watch, signs of complications, anesthesia helps, prevent pain, the procedure, discomfort, procedure.