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    Module

    Interventional Radiology - Non-Oncological

    A clear overview of the most commonly performed non-oncological procedures.

    Interventional Radiology - Non-Oncological
    Radiology Expert
    Table of contents
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    Hepatobiliary System

    • TIPS
    • Percutaneous transhepatic cholangiography drainage (PTCD)

    TIPS

    The transjugular intrahepatic portosystemic shunt (TIPS) procedure is used in the treatment of portal hypertension. In this procedure, a direct connection is created between a hepatic vein and a portal vein branch. This way, a portion of the blood from the portal vein is diverted directly into the hepatic veins, bypassing the (cirrhotic) liver parenchyma. (Result: pressure reduction in the portal vein and the often already present portosystemic collaterals [e.g., esophageal varices]).

    There are several techniques available for TIPS placement. The expertise and preference of the interventional radiologist largely determine the choice. Below is an explanation of a commonly used method.

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    Literature: sources and author

    Text

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)

    With special thanks to:
    drs. J. Jongkind (interventional radiologist Maastricht UMC+)

    Illustrations

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)

    Sources:

    • A. Wanhainen et al.; Editor’s Choice – European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms5Eur J Vasc Endovasc Surg (2024). 

    • Gilles Soulez et al.; Interventional Management of Arteriovenous Malformations.Tech Vasc Interventional Radiology (2019)

    • A. Piñar-Gutiérrez et al.;Percutaneous Radiology Gastrostomy (PRG)-Associated Complications at a Tertiary Hospital over the Last 25 Years. Nutrients (2022)

    • S.H. Chandrashekhara; Textbook of Interventional Radiology (2024)

    • J. Shafa, S. Kee; Learning Interventional Radiology (2019)

    • B.Taslakian et al.; Interventional Radiology Suite: A Primer for Trainees. Journal of Clinical Medicine (2019)

    • A. Pawan Kumar; Management of Acute Complications during Endovascular Procedures in Peripheral Arterial Disease: A Review. Indian Society of Vascular and Interventional Radiology (2022)

    • M. B. Pandhi et al.; Understanding the Basics of Commonly Used Wires in Interventional Radiology. Semin Intervent Radiol (2021)

    • J. Schroeder; Peripheral Vascular Interventions An Illustrated Manual (2013)