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Digestive Disease Interventions 2017; 01(04): 277-285
DOI: 10.1055/s-0038-1629892
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Pediatric Transjugular Intrahepatic Portosystemic Shunts

Eric J. Monroe
1   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital and University of Washington, Seattle
,
David S. Shin
1   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital and University of Washington, Seattle
,
Giridhar M. Shivaram
1   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital and University of Washington, Seattle
,
Kevin S.H. Koo
1   Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital and University of Washington, Seattle
› Author Affiliations
Further Information

Publication History

15 September 2017

03 January 2018

Publication Date:
14 February 2018 (online)

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Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) creation offers potentially life-saving portal decompression regardless of patient age or size, but has been underutilized in pediatric patients to date. Experience has therefore been limited, and the full clinical benefit in this population is yet to be realized. Those wishing to embark on pediatric TIPSs would benefit not only from significant experience in adult TIPSs, but also from an awareness of challenges posed by the unique pediatric population. We herein review the etiologies and manifestations of portal hypertension more common in children, highlight some of the technical nuances of creating TIPSs in smaller anatomy, and summarize the existing literature on the topic. As extrahepatic portal vein occlusion (EHPVO) occurs with greater frequency in pediatric patients, special attention is paid to this condition and its associated challenges.

Keywords

portal hypertension - pediatric - transjugular intrahepatic portosystemic shunt
 

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