Transjugular Intrahepatic Portosystemic Shunts for Cirrhotic Patients

Among patients who underwent TIPS placement, diastolic dysfunction was associated with slower ascites clearance and higher mortality.

In cirrhotic patients, transjugular intrahepatic portosystemic shunt (TIPS) placement is indicated for the management of refractory ascites and variceal bleeding. However, after TIPS placement, ascites is not improved in all patients, and cardiac death occurs in some patients who had no prior cardiac problems.

To evaluate whether the presence of diastolic dysfunction (a feature of cirrhotic cardiomyopathy) can predict ascites clearance and survival in cirrhotic patients who undergo TIPS placement, investigators conducted an international retrospective study involving 101 patients who received a pre-TIPS echocardiogram and underwent TIPS placement during a 9-year period. Diastolic dysfunction was assessed using the E/A ratio (a ratio of early…

Reviewing Author

Atif Zaman, MD, MPH

Disclosures

Nothing to disclose

Atif Zaman, MD, MPH

Disclosures

Nothing to disclose