EditorialShunt insufficiency after transjugular intrahepatic portosystemic stent-shunt: the whens, whys, hows and what should we do about it?
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2000, Gastroenterology Clinics of North AmericaCitation Excerpt :Although predominantly right-sided failure usually responds to diuretics and venodilators, the treatment of left-sided failure should include correction of precipitating factors, such as anemia, as well as treatment with diuretics and systemic vasodilators. In contrast to surgical decompression of the portal venous system, portal hypertension recurs almost universally after TIPS placement.12,67,135 The causes of recurrence include TIPS thrombosis, stent kinking and retraction, development of right-sided heart failure and pseudointimal hyperplasia in the TIPS.128,135 (
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