Personnel | Description |
Interventional radiologists | At least two fully trained interventional radiologists or similarly-trained physicians able to carry out TIPSS independently and other related procedures such as variceal embolisation. Forming viable networks would be advised. Please see section on Networks (https://www.england.nhs.uk/wp-content/uploads/2012/11/scn-sof.pdf) |
Hepatology | Hepatology team used to caring for patients with portal hypertension and its major complications (variceal haemorrhage, ascites and encephalopathy etc) |
Intensive care | Intensivists used to care for patients with portal hypertension and variceal haemorrhage. |
Anaesthesia | Anaesthetists who are used to working in Interventional radiology suites and are used to dealing with patients who may have the complications of portal hypertension (pleural effusions, heart failure, encephalopathy, variceal haemorrhage etc). |
Key support staff | Fully trained interventional support staff including nurses (capable of invasive pressure measurements) and radiographers |
Other disciplines as necessary | Nephrology with access to renal replacement therapy. Microbiology. Cardiology assessment. Liver transplant services (These will not always be locally available but networked communication channels should be clearly defined) Addiction services with pathways clearly defined. |