Abstract
Transjugular intrahepatic portosystemic shunt (TIPS) placement is a well-established
procedure for treating the sequelae of portal hypertension in adults. In pediatric
patients also, TIPS is a good alternative to surgical shunt procedures because it
is less invasive. However, similar or even more than in adults, TIPS creation is one
of the technically more challenging procedures in children requiring special considerations
regarding portal venous access and stent placement. Although data are limited to retrospective
single-center experiences and meta-analysis, current findings suggest that TIPS is
safe and effective in pediatric patients. If monitored and revised carefully, TIPS
stents can last for a long time and may be able to serve for more than a short-term
bridge to liver transplantation. This review shall provide information about the authors'
procedural technique and give a short overview about the recent literature.
Keywords
TIPS - portal hypertension - interventional radiology
